Individual
BROOK DARRETT BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 GROSSMONT CENTER DR, GROSSMONT HOSPITAL EMERGENCY DEPARTMENT, LA MESA, CA 91942-3019
(619) 740-3958
Mailing address
9225 MIRA MESA BLVD, 208, SAN DIEGO, CA 92126-4820
(858) 860-5699
(858) 860-5699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
96186
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
219688
MA
Other
Enumeration date
05/31/2006
Last updated
06/09/2016
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