Individual
BRIAN TOOTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 MIDWAY DR, SAN DIEGO, CA 92110-4502
(619) 221-0834
Mailing address
510 STRATFORD CT APT 201A, DEL MAR, CA 92014-2766
(858) 342-8905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61627
CA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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