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Organization

BRETT A GIDNEY MD A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT ANDREW GIDNEY MD (PRESIDENT, CEO)
(619) 287-7060
Entity
Organization

Contact information

Practice address
5555 RESERVOIR DR, SUITE 112, SAN DIEGO, CA 92120-5134
(619) 287-7060
Mailing address
5555 RESERVOIR DR, SUITE 112, SAN DIEGO, CA 92120-5134
(619) 287-7060

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A81336
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A81336
STATE LICENSE
CA
Enumeration date
04/14/2008
Last updated
03/07/2023
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