Individual
BRIAN NICKERSON WARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HARBOR-UCLA MEDICAL CENTER, 1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-3137
Mailing address
1000 W CARSON ST, HARBOR UCLA MEDICAL CENTER, TORRANCE, CA 90502-2004
(310) 222-3137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/21/2007
Last updated
11/29/2021
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