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BRUCE M PRENNER MD

Allergy and Immunology

San Diego, California

Provider NPI: 1104882729

Provider Information:
 BRUCE M PRENNER MD


Practice Location:
2655 CAMINO DEL RIO N # 120 SAN DIEGO, CA 92108 US
Tel: 619-286-6687  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
CAG21931

Other Provider Identifiers:

IssuerNumberStateType
00G219310CA05
MEDICARE PTANGW214ZCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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