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DR. SUSAN FARRAR ANTLE MD MPH
>> Obstetrics & Gynecology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1720060387
Individual Registrant:DR. SUSAN FARRAR ANTLE MD MPH
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
SANTA MARGARITA ROAD, BLDG H-100 DEPT OF OB/GYN CAMP PENDLETON, CA 92055 US
Tel: 760-725-0561 Fax: --
Tel: 760-725-0561 Fax: --
Contact information for business:
SANTA MARGARITA ROAD, BLDG H-100 DEPT OF OB/GYN CAMP PENDLETON, CA 92008-3114 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1720060387
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207V00000X | Allopathic & Osteopathic Physicians Obstetrics & Gynecology | VA | 0101232743 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
