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DR. SUSAN FARRAR ANTLE MD MPH

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1720060387

Individual Registrant:
DR. SUSAN FARRAR ANTLE MD MPH
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: --

Contact information for business:
SANTA MARGARITA ROAD, BLDG H-100 DEPT OF OB/GYN CAMP PENDLETON, CA 92008-3114 US
Tel: --  Fax: --

Registration Information:
NPI: 1720060387
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
VA0101232743

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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