Sally S Agersborg M.D., PH.D.

NPI 1053505743 - Pathology - 207ZH0000X

NPI Details
NPI 1053505743
Gender Female
Enumeration Date 09/05/2007
Last Updated 09/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
33608 ORTEGA HWY
BLDG A
SAN JUAN CAPISTRANO CA, 92675-2042, US
Phone (949) 728-7866
Fax
Business Location
33608 ORTEGA HWY
BLDG A
SAN JUAN CAPISTRANO CA, 92675-2042, US
Phone (949) 728-7866
Fax
Toxanomy
Taxonomy Code 207ZH0000X
License State Maryland
License Number D0066759
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According to our database, Dr. Sally S Agersborg M.D., PH.D. NPI is 1053505743, taxonomy code is 207ZH0000X and license number is D0066759, license state is located at Maryland. Sally S Agersborg M.D., PH.D. physically located at 33608 Ortega Hwy, San Juan Capistrano CA, 92675-2042. NPI Number Sally S Agersborg M.D., PH.D. has the Individual type.

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1053505743 NPI number is provided on an as is basis without warranty of any kind. 1053505743 is maintained by the National Plan & Provider Enumeration System. The contents of Sally S Agersborg M.D., PH.D. are for informational purposes only.