Individual
MAURY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-6502
Mailing address
5718 58TH PL, SAN DIEGO, CA 92115-6117
(619) 865-2403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
500425
CA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
500425
CA
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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