Individual
DR. BRIAN KENNETH COGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111-3823
(415) 529-4566
Mailing address
130 SUTTER ST FL 2, SAN FRANCISCO, CA 94104-4009
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
127767
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018651200
—
FL
Enumeration date
05/11/2012
Last updated
09/06/2023
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