Organization
THE UROLOGICAL INSTITUTE OF SAN DIEGO
Active
Other names
Scott Logan Brown, MD, a professional corp.
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY HALSEY (BILLER/CREDENTIALER)
(951) 246-4281
Entity
Organization
Contact information
Practice address
8851 CENTER DR, SUITE 208, LA MESA, CA 91942-3189
(619) 828-1000
(619) 828-1001
Mailing address
8851 CENTER DR, SUITE 208, LA MESA, CA 91942-3189
(619) 828-1000
(619) 828-1001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G85788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071060
—
CA
Enumeration date
08/10/2010
Last updated
08/10/2010
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