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1831166560
BRENT W FUNDINGSLAND
SAN DIEGO, CA
NPI
1831166560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA G76891)
Enumeration Date
2006-03-01
Last Update Date
2021-06-08
Business Address
Dr. BRENT W FUNDINGSLAND M.D.
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
Dr. BRENT W FUNDINGSLAND M.D.
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 800-926-8273
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