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Organization

BRENT R DRISKILL MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT R. DRISKILL MD (PRESIDENT)
(619) 294-2350
Entity
Organization

Contact information

Practice address
4033 3RD AVE STE 104, SAN DIEGO, CA 92103-2136
(619) 294-2350
(619) 296-5719
Mailing address
4033 3RD AVE STE 104, SAN DIEGO, CA 92103-2136
(619) 294-2350
(619) 296-5719

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
06/06/2019
Last updated
06/06/2019
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