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Individual

DR. STACY RUSTICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 92134-0001
(619) 881-9165
(619) 532-9184
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-2098
(619) 881-9165
(619) 532-9184

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A111715
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
A111715
CA

Other

Enumeration date
06/17/2008
Last updated
08/09/2024
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