SHANE A FUTCHKO

SAN DIEGO, CA
NPI1639357676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA21690)
Enumeration Date2008-02-01
Last Update Date2012-07-27
Business Address
Mr. SHANE A FUTCHKO PA-C
3930 4TH AVE STE 200
SAN DIEGO, CA 92103-3119
Phone number: 352-219-3271
Mailing Address
Mr. SHANE A FUTCHKO PA-C
3930 4TH AVE STE 200
SAN DIEGO, CA 92103-3119
Phone number: 352-219-3271
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