Individual
MR. BRIAN JOSEPH CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
850 WEST CALIFORNIA ST., ESCALON, CA 95320-2120
(209) 838-2278
(209) 838-2513
Mailing address
6437 KENNETH CHARLES CT, RIVERBANK, CA 95367-2123
(209) 869-6715
(209) 838-2513
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11588
CA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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