Organization
BRENTON D. WYNN, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENTON DAVID WYNN MEDICAL DOCTOR (OWNER /PRESIDENT OF CORPORATION)
(619) 318-8233
Entity
Organization
Contact information
Practice address
502 EUCLID AVE STE 200, NATIONAL CITY, CA 91950-2984
(619) 434-4019
(619) 461-5663
Mailing address
502 EUCLID AVE STE 200, NATIONAL CITY, CA 91950-2984
(619) 434-4019
(619) 461-5663
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A73257
CA
Other
Enumeration date
10/10/2007
Last updated
07/19/2021
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