Bissonette,frey,greenberg,malkus

NPI #1639175433 in San Diego, California

Provider Information

NPI Number: 1639175433
Entity Type: Organization
Organization Name: Bissonette,frey,greenberg,malkus
Primary Specialty: Specialist
Enumeration Date: Jun 27, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 6280 JACKSON DR
Address 2: STE 8
City: San Diego
State: California
ZIP Code: 92119-3436
Phone: (619) 464-1607

Authorized Official

Name: DR. DOUGLAS MATTHEW DAUB, MD
Title: MEDICAL DOCTOR
Phone: (619) 464-1607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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