Organization
LA MESA SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP DICKINSON M.D. (PRESIDENT)
(619) 464-4469
Entity
Organization
Contact information
Practice address
8554 LA MESA BLVD, LA MESA, CA 91942-9558
(619) 464-4469
(619) 330-2245
Mailing address
8554 LA MESA BLVD, LA MESA, CA 91942-9558
(619) 464-4469
(619) 330-2245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A86720
CA
Other
Enumeration date
02/12/2010
Last updated
11/30/2012
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