Individual
BRIAN MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2333 1ST AVE STE 101, SAN DIEGO, CA 92101-1538
(619) 777-6165
Mailing address
2333 1ST AVE STE 101, SAN DIEGO, CA 92101-1538
(619) 777-6165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9947
CA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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