Individual
DR. BRIAN DANIEL THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 N SUNRISE AVE, SUITE 611, ROSEVILLE, CA 95661-2924
(916) 789-1505
(916) 789-1513
Mailing address
151 N SUNRISE AVE, SUITE 611, ROSEVILLE, CA 95661-2924
(916) 789-1505
(916) 789-1513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A72684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A72684
MEDICAL LICENSE
CA
05
—
GR0100970
—
CA
Enumeration date
05/12/2006
Last updated
03/12/2008
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