| Doctor Name: | BRENDAN THOMAS TRIBBLE |
| NPI Number: | 1528043346 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01055527A |
| Business Practice Address: | 34800 Bob Wilson Dr Nmcsd Dept Of Anesthesiology San Diego, CA - 921340001 |
| Business Phone Number: | 6195328960 |
| Business Fax Number: | |
| Mailing Address: | 1028 22nd St, SAN DIEGO |
| State: | CA |
| Postal Code: | 921021906 |
| Phone Number: | 3602939392 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 11/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01055527A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |