Individual
BROOKE MYRBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 5TH AVE STE 110, SAN DIEGO, CA 92103-3122
(858) 554-1212
(858) 554-1222
Mailing address
9850 GENESEE AVE STE 320, LA JOLLA, CA 92037-1208
(858) 554-1212
(858) 554-1222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA56234
CA
Other
Enumeration date
12/16/2018
Last updated
05/21/2019
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