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Individual

DR. DORI NEILL CAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8008 FROST ST, SUITE #403, SAN DIEGO, CA 92123-4205
(858) 715-9200
(858) 715-9202
Mailing address
8008 FROST ST, SUITE #403, SAN DIEGO, CA 92123-4209
(858) 715-9200
(858) 715-9202

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A049579
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710088992
GROUP NPI
CA
01
1871592253
INDIVIDUAL NPI
CA
01
GR0057710
BC/BS
01
W19706
MEDICARE PTAN
CA
Enumeration date
07/19/2005
Last updated
08/08/2013
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