Provider First Line Business Practice Location Address:
3855 HEALTH SCIENCES DR., RM 2313, MAIL CODE: 0987
Provider Second Line Business Practice Location Address:
DEPT OF SURG, DIV OF SURG ONCOL, MOORES UCSD CANCER CTR
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-0987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-822-2124
Provider Business Practice Location Address Fax Number:
858-534-4813
Provider Enumeration Date:
01/27/2007