Search › Kansas › Anatomic Pathology & Clinical Pathology Physician
Jerry San Diego, M.D
NPI 1285694604 · on the registry since 2006
Practice
- Address
- 4101 S 4th St
P And Lms
Leavenworth, KS 66048 - Phone
- (913) 682-2000
- Fax
- (913) 758-4193
- Organisation at this address
- Kansas City Vamc
Kansas City Vamc
Department Of Veterans Affairs
Va Eastern Kansas Health Care System
Va Eastern Kansas Health Care SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 341
Registry record
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician
207ZP0102X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas