Provider Demographics
NPI:1144424433
Name:O'DWYER, MARY MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:MARGARET
Last Name:O'DWYER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11956 BERNARDO PLAZA DR
Mailing Address - Street 2:#301
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2538
Mailing Address - Country:US
Mailing Address - Phone:858-229-5189
Mailing Address - Fax:858-679-1334
Practice Address - Street 1:11956 BERNARDO PLAZA DR
Practice Address - Street 2:#301
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2538
Practice Address - Country:US
Practice Address - Phone:858-229-5189
Practice Address - Fax:858-679-1334
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG64759207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine