Individual
BRIGITTE KORKUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6645 ALVARADO RD, STE 415, SAN DIEGO, CA 92120-5208
(619) 229-4941
Mailing address
6645 ALVARADO RD, STE 415, SAN DIEGO, CA 92120-5208
(619) 229-4941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
03/08/2012
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