MICHAEL S DUFFY SR DO INC
Suppliers at 5 Ave, San Diego, CA

License number
California 20A9616
Category
Osteopathic Medicine
Type
Internal Medicine
License number
California 72004
Category
Suppliers
Type
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Owner
Name: DR. MICHAEL SEAN DUFFY SR. DO
Title: SOLE MEMBER
Phone: (619) 647-5072
Address
Address
1501 5Th Ave STE 100, San Diego, CA 92101
National Provider ID: 1316175342
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL S DUFFY SR DO INC

San Diego, CA

Registration:
Sep 26, 2011
Addresses:
1501 5 Ave, San Diego, CA 92101 (Physical)
4692 Msn Blvd, San Diego, CA 92109
State ID:
C3415609
Business type:
Articles of Incorporation
President:
Michael S. Duffy (President)
Agent:
Michael Sean Duffy,San Diego, CA 92101 (Physical)

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