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Individual

DR. CRAIG M UEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6600
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6600

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G77996
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G779960
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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