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Individual

DR. BRIAN JAY MCGRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-5431
Mailing address
PO BOX 44018, JACKSONVILLE, FL 32231-4018
(904) 244-3312

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
18735
NC
207L00000X
Anesthesiology Physician
D0046844
MD
207L00000X
Anesthesiology Physician
G56037
CA
207L00000X
Anesthesiology Physician
MD15993
DC
207L00000X
Anesthesiology Physician
Primary
ME131983
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027208100
DC
Enumeration date
08/08/2006
Last updated
05/08/2017
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