MARK DAVID SHALAUTA

SAN DIEGO, CA
NPI1902864358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A61000)
Enumeration Date2006-05-03
Last Update Date2019-12-30
Business Address
Dr. MARK DAVID SHALAUTA M.D.
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-487-1800
Mailing Address
Dr. MARK DAVID SHALAUTA M.D.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-605-7837
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