Individual
BRIAN MARK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093-1503
(858) 246-0886
Mailing address
1755 WYNDALE ST APT 333, HOUSTON, TX 77030-4167
(828) 446-1899
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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