Individual
DR. MARTIN DAVID BASTUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6699 ALVARADO RD, 2208, SAN DIEGO, CA 92120-5238
(619) 286-3520
(619) 265-1429
Mailing address
6699 ALVARADO RD, 2208, SAN DIEGO, CA 92120-5238
(619) 286-3520
(619) 265-1429
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G78672
CA
Other
Enumeration date
11/30/2005
Last updated
08/06/2009
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