Individual
MR. BRIAN JOSEPH GRANACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARRT
Contact information
Practice address
1450 CHALCEDONY ST APT 9, SAN DIEGO, CA 92109-2130
(619) 316-6770
Mailing address
1450 CHALCEDONY ST APT 9, SAN DIEGO, CA 92109-2130
(619) 316-6770
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
RHT00092789
CA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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