SearchKansasAnatomic 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 System
Inferred 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