Mary Ellen Trunko MD

NPI 1477690220 - Internal Medicine - 207R00000X

NPI Details
NPI 1477690220
Gender Female
Enumeration Date 01/31/2007
Last Updated 04/12/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4510 EXECUTIVE DR
SUITE 315
SAN DIEGO CA, 92121-3021, US
Phone (858) 534-8052
Fax
Business Location
1240 INDIA ST
UNIT 2304
SAN DIEGO CA, 92101-3543, US
Phone (619) 239-4416
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A77144
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According to our database, Dr. Mary Ellen Trunko MD NPI is 1477690220, taxonomy code is 207R00000X and license number is A77144, license state is located at California. Mary Ellen Trunko MD physically located at 4510 Executive Dr, San Diego CA, 92121-3021. NPI Number Mary Ellen Trunko MD has the Individual type.

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1477690220 NPI number is provided on an as is basis without warranty of any kind. 1477690220 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ellen Trunko MD are for informational purposes only.