Individual
ANDREW JOHN DENEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(858) 657-8200
(619) 543-3183
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA23100
CA
Other
Enumeration date
10/09/2013
Last updated
08/30/2022
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