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1558592220
MARK DEAVER
SAN DIEGO, CA
NPI
1558592220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A113798)
Enumeration Date
2009-07-29
Last Update Date
2017-01-19
Business Address
Dr. MARK DEAVER M.D
4077 5TH AVE
SAN DIEGO, CA 92103-2105
Phone number: 619-294-8111
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Mailing Address
Dr. MARK DEAVER M.D
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-851-7423
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