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Organization

BRIAN THORNBURG, DO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES BRIAN THORNBURG DO (OWNER)
(239) 348-7337
Entity
Organization

Contact information

Practice address
5500 BRYSON DR, SUITE 301, NAPLES, FL 34109-0922
(239) 348-7337
(239) 348-7391
Mailing address
5500 BRYSON DR, SUITE 301, NAPLES, FL 34109-0922
(239) 348-7337
(239) 348-7391

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS9029
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588702419
NPI FOR PROVIDER
FL
Enumeration date
12/08/2015
Last updated
12/28/2016
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