Miles V Stanich, Md Inc | |
3795 30th St Ste A San Diego CA 92104-3631 | |
(619) 260-1958 | |
Not Available |
Full Name | Miles V Stanich, Md Inc |
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Speciality | Internal Medicine |
Location | 3795 30th St Ste A, San Diego, California |
Authorized Official Name and Position | Miles V Stanich (PRESIDENT) |
Authorized Official Contact | 6197330360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Miles V Stanich, Md Inc 4460 Point Loma Ave San Diego CA 92107-3925 Ph: (619) 733-0360 | Miles V Stanich, Md Inc 3795 30th St Ste A San Diego CA 92104-3631 Ph: (619) 260-1958 |
NPI Number | 1205022415 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 09/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205022415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G24707 (California) | Primary |
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