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NPI Code Detail

MEDICARE: DR. GARY PAUL MCFEETERS M.D.

MEDICARE:  DR. GARY PAUL MCFEETERS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA-311896CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790813962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY PAUL MCFEETERS M.D.
Provider Business Mailing Address
First Line : 7525 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-5301
Country : US
Telephone Number : 858-277-2361
Fax Number : 858-569-1981
Provider Business Practice Location Address
First Line : 7525 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-5301
Country : US
Telephone Number : 858-277-2361
Fax Number : 858-569-1981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/16/2010

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Directions to “ DR. GARY PAUL MCFEETERS M.D.” Practice Location

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