Doctor Name: | BRIAN TERRIEN |
NPI Number: | 1407017247 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25285 |
Business Practice Address: | 34800 Bob Wilson Dr Nmcsd San Diego, CA - 921341098 |
Business Phone Number: | 3037258799 |
Business Fax Number: | |
Mailing Address: | 3839 Atascadero Dr, SAN DIEGO |
State: | CA |
Postal Code: | 921072630 |
Phone Number: | 3037258799 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |