Robert E Wailes MD a Professional

NPI #1699863258 in Oceanside, California

Provider Information

NPI Number
1699863258
Entity Type
Organization
Organization Name
Robert E Wailes MD a Professional
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 10, 2006
Last Updated
Sep 21, 2016

Practice Location

Address
3998 VISTA WAY STE C106
ZIP Code
92056-4500
Phone
(760) 941-2600

Authorized Official

Name
ROBERT EUGENE WAILES, M.D.
Title
CEO
Phone
(760) 753-1104

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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