Organization
FAIRBANKS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARTER H SIGMON MD (PRESIDENT)
(858) 255-1969
Entity
Organization
Contact information
Practice address
16089 SAN DIEGUITO RD, H102, RANCHO SANTA FE, CA 92067
(858) 255-1969
Mailing address
PO BOX 9227, RANCHO SANTA FE, CA 92067-4227
(858) 255-1969
(858) 759-6729
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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