Individual
BRENDAN THOMAS TRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 PROVIDENCE RD DEPT OF, CHARLOTTE, NC 28207-1206
(704) 749-5800
Mailing address
1028 22ND ST, SAN DIEGO, CA 92102-1906
(360) 293-9392
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2013-01939
NC
Other
Enumeration date
12/14/2005
Last updated
05/05/2020
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