Individual
DR. BEVERLY GAIL HARRELL-BRUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
435 H ST, CHULA VISTA, CA 91910-4307
(619) 691-7290
(619) 691-7432
Mailing address
PO BOX 661987, ARCADIA, CA 91066-1987
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G65023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G650230
—
CA
Enumeration date
07/04/2006
Last updated
06/27/2008
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