Doctor Name: | DR. LUKE FLYNN BREMNER |
NPI Number: | 1982676896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A89564 |
Business Practice Address: | 1st Combat Engineer Battalion, Bas First Marine Division (rein), Fmf Camp Pendleton, CA - 920555381 |
Business Phone Number: | 7607633360 |
Business Fax Number: | |
Mailing Address: | 332 Santa Fe Dr Ste 110, ENCINITAS |
State: | CA |
Postal Code: | 920245143 |
Phone Number: | 7609436700 |
Fax Number: | 7606324292 |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A89564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |