Individual
DANIEL B BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3726 N 1ST ST, FRESNO, CA 93726-5601
(559) 248-0116
(559) 248-0119
Mailing address
3726 N 1ST ST, FRESNO, CA 93726-5601
(559) 248-0116
(559) 248-0119
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
Primary
020A53070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B58262
—
CA
Enumeration date
09/20/2006
Last updated
07/09/2007
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