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Organization
BRETT A GIDNEY MD A MEDICAL CORPORATION
Active
Organization
BRETT A GIDNEY MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT ANDREW GIDNEY MD (PRESIDENT, CEO)
(619) 287-7060
Entity
Organization
Contact information
Practice address
5555 RESERVOIR DR, SUITE 112, SAN DIEGO, CA 92120-5134
(619) 287-7060
Mailing address
5555 RESERVOIR DR, SUITE 112, SAN DIEGO, CA 92120-5134
(619) 287-7060
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A81336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A81336
STATE LICENSE
CA
Enumeration date
04/14/2008
Last updated
03/07/2023
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