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Individual
BRIAN PETERNELL
Active
Individual
BRIAN PETERNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20A13464
CA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DOS-2186
HI
208D00000X
General Practice Physician
20A13464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DOS-2186
STATE OF HAWAII
HI
Enumeration date
05/24/2012
Last updated
02/04/2023
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