Bryan Keenan, MD | |
Mag 39, Area 22 Medical, Bldg 22190, Camp Pendleton, CA 92055 | |
(760) 725-2969 | |
Not Available |
Full Name | Bryan Keenan |
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Gender | Male |
Speciality | General Practice |
Location | Mag 39, Camp Pendleton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033311758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 0101237249 (Virginia) | Primary |
Entity Name | St Vincents Pathology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114074200 PECOS PAC ID: 6103860200 Enrollment ID: O20050618000097 |
Mailing Address | Practice Location Address |
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Bryan Keenan, MD 12562 Caminito Mira Del Mar, San Diego, CA 92130-2387 Ph: () - | Bryan Keenan, MD Mag 39, Area 22 Medical, Bldg 22190, Camp Pendleton, CA 92055 Ph: (760) 725-2969 |
Dr. Scott Harley, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055 Phone: 760-719-3205 | |
Dr. James Michael Liang, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: Box 555191, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-763-1515 | |
Dr. Mary Ann Sullivan, M.D. General Practice Medicare: Medicare Enrolled Practice Location: Nmrtc Camp Pendleton, 4th Floor Rm 4172, Camp Pendleton, CA 92055 Phone: 575-749-3629 | |
Mia Carrasco, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 480-815-3827 | |
Mckenzie Rooney, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Nmrtc Camp Pendleton, 4th Floor, Rm 4172, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Dr. Barak C Clement, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 33 Area Branch Medical Clinic, Building 330305, C Street, Camp Pendleton, CA 92005 Phone: 760-725-4010 Fax: 760-266-6188 |