Organization
BRENNAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GERARD BYRNE M.D.,J.D. (PRESIDENT)
(831) 768-0220
Entity
Organization
Contact information
Practice address
30 BRENNAN ST, WATSONVILLE, CA 95076-4303
(831) 768-0220
Mailing address
30 BRENNAN ST, WATSONVILLE, CA 95076-4303
(831) 768-0220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G743880
—
CA
Enumeration date
06/27/2011
Last updated
06/27/2011
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