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Individual

MARY LENORA HILFIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8010 FROST ST, SUITE 414, SAN DIEGO, CA 92123-2778
(858) 966-7711
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G81926
CA
2086S0120X
Pediatric Surgery Physician
Primary
G81926
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G819260
CA
Enumeration date
11/13/2006
Last updated
11/07/2011
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