Individual
MARK L STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-4310
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-4310
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
C198473
CA
204F00000X
Transplant Surgery Physician
MD61025436
WA
208600000X
Surgery Physician
C198473
CA
208600000X
Surgery Physician
Primary
MD61025436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992894075
—
WA
Enumeration date
10/12/2006
Last updated
08/13/2026
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