Individual
DR. BRANDON LARREN GRUSD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-2626
Mailing address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-2626
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A91380
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A91380
CA
Other
Enumeration date
06/03/2008
Last updated
01/15/2013
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