Bryan Keenan MD

NPI 1033311758 - General Practice - 208D00000X

NPI Details
NPI 1033311758
Gender Male
Enumeration Date 06/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
MAG 39
AREA 22 MEDICAL, BLDG 22190
CAMP PENDLETON CA, 92055, US
Phone (760) 725-2969
Fax
Business Location
12562 CAMINITO MIRA DEL MAR
SAN DIEGO CA, 92130-2387, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Virginia
License Number 0101237249
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According to our database, Bryan Keenan MD NPI is 1033311758, taxonomy code is 208D00000X and license number is 0101237249, license state is located at Virginia. Bryan Keenan MD physically located at Mag 39, Camp Pendleton CA, 92055. NPI Number Bryan Keenan MD has the Individual type.

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1033311758 NPI number is provided on an as is basis without warranty of any kind. 1033311758 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Keenan MD are for informational purposes only.