Individual
BRYAN HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, GRADUATE MEDICAL EDUCATION OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-8131
Mailing address
11234 ANDERSON ST, GME OFFICE CP 21005, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A114170
CA
Other
Enumeration date
04/05/2010
Last updated
06/21/2013
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