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Individual

DR. BRENT BUCCINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-7935
Mailing address
4909 WICOMICO AVE, BELTSVILLE, MD 20705-1914
(301) 908-8197

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207P00000X
Emergency Medicine Physician
Primary
0101260823
VA

Other

Enumeration date
07/02/2015
Last updated
07/18/2022
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