Du Quette, Mary Walch

Du Quette, Mary Walch is an individual health care provider with primary practice located at 2020 Genesee Ave , San Diego CA 92123-4219. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Du Quette, Mary Walch can be contacted via phone (858) 616-8100.

Contact Information

Primary practice address
2020 Genesee Ave San Diego CA 92123-4219
Phone: (858) 616-8100
Fax: (858) 569-5209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G70844 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X G70844 California

Profile Details

NPI number 1497765614
LBN Legal business name Du Quette, Mary Walch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497765614 NPPES
California MEDICAID 00G708440

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