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DR. SHARON KAY TIEFENBRUNN M.D.

MOHS-Micrographic Surgery >> Dermatology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255338745

Individual Registrant:
DR. SHARON KAY TIEFENBRUNN M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
528 FLORES DE ORO  RANCHO SANTA FE, CA 92067-0596 US
Tel: 858-832-1323  Fax: 858-832-1323

Contact information for business:
PO BOX 596  RANCHO SANTA FE, CA 92067-0596 US
Tel: 858-832-1323  Fax: 858-832-1323

Registration Information:
NPI: 1255338745
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ND0101XAllopathic & Osteopathic Physicians
Dermatology
MOHS-Micrographic Surgery
CAG32123

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
201243607MO05
CLIA26D0438485MO01
CLIA26D1020264MO01




HEALTH CARE JOBS CA - Page 1



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