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Individual

DR. BRENT E RATHBUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2600 VIA DE LA VALLE, STE 200, DEL MAR, CA 92014-1992
(858) 499-2600
(858) 309-3189
Mailing address
2600 VIA DE LA VALLE, STE 200, DEL MAR, CA 92014-1992
(858) 499-2600
(858) 309-3189

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54826
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A548260
CA
Enumeration date
08/14/2006
Last updated
06/06/2014
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