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OrganizationMedicare enrolled

Prairie Physicians PA

Mental Health Counselor · San Diego, CA

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000000893
Enumeration date
2020-11-07
Last updated
2026-01-21
Practice location
3776 Hospital Dr
San Diego, CA 92101
Taxonomies
Website
Not listed
Medicare
Enrolled