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1609842715
BRIAN RANDALL GANTWERKER
SANTA MONICA, CA
NPI
1609842715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: CA A109316)
Enumeration Date
2006-02-28
Last Update Date
2016-06-14
Business Address
Dr. BRIAN RANDALL GANTWERKER M.D.
2811 WILSHIRE BLVD SUITE 840
SANTA MONICA, CA 90403-4803
Phone number: 310-694-8300
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Mailing Address
Dr. BRIAN RANDALL GANTWERKER M.D.
PO BOX 492209
LOS ANGELES, CA 90049-2209
Phone number: 310-694-8300
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