Individual provider · NPI-1
Dr. Marsha Wells Blount, MD
Family Medicine · La Mesa, CA
NPI number1710174693
StatusActive
Last updated in NPPESJun 14, 2013
Details
- NPI
- 1710174693
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marsha Wells Blount
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2007
- Last updated
- Jun 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A69030 | CA | Yes |
| 207Q00000X | Family Medicine | 200500009 | NC |
Practice location
5525 Grossmont Center DrLa Mesa, CA 91942-3009
Phone 858-499-2600 · Fax 619-644-6899
Mailing address
5525 Grossmont Center DrLa Mesa, CA 91942-3009
Phone 858-499-2600 · Fax 619-644-6899
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