Jeffrey Wannares

NPI 1851728141 · on the registry since 2013

Practice

Address: 8554 La Mesa Blvd
La Mesa, CA 91942
Phone: (619) 698-4471
Organisation at this address: La Mesa Surgical Services
Southern California Surgical Inc
Phillip Dickinson, M.D., A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Surgery Physician
208600000X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-08-01

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 California