Individual
GENNADIY BIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MERCY CIRCLE DRIVE, CAMP PENDLETON, CA 92055-5191
(760) 725-1577
Mailing address
I MARINE EXPEDITIONARY FORCE, 200 MERCY CIRCLE DRIVE, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14215796-1206
UT
Other
Enumeration date
06/14/2017
Last updated
09/23/2025
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