Individual
MR. BRIAN KNUDSEN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8151 ARLINGTON AVE, SUITES U-V, RIVERSIDE, CA 92503-0436
(760) 728-3816
(760) 728-1542
Mailing address
8151 ARLINGTON AVE, SUITES U-V, RIVERSIDE, CA 92503-0436
(760) 728-3816
(760) 728-1542
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15157
CA
Other
Enumeration date
07/14/2006
Last updated
11/18/2008
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