Provider Demographics
NPI:1366828097
Name:MCGILL, BRANDY (ND)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:
Last Name:MCGILL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2667 CAMINO DEL RIO S STE 312
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3765
Mailing Address - Country:US
Mailing Address - Phone:619-784-3118
Mailing Address - Fax:
Practice Address - Street 1:2667 CAMINO DEL RIO S STE 312
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3765
Practice Address - Country:US
Practice Address - Phone:619-784-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND749175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath