Individual
BRIAN DEWHIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-1801
(858) 642-3841
Mailing address
1901 W LUGONIA AVE STE 230, REDLANDS, CA 92374-9705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA55961
CA
Other
Enumeration date
04/03/2018
Last updated
07/16/2024
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