Provider Demographics
NPI:1528232154
Name:DUERDEN, BRYNN JULIE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYNN
Middle Name:JULIE
Last Name:DUERDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRYNN
Other - Middle Name:JULIE
Other - Last Name:DUERDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5285 TOSCANA WAY APT 8410
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5336
Mailing Address - Country:US
Mailing Address - Phone:808-419-8102
Mailing Address - Fax:
Practice Address - Street 1:5285 TOSCANA WAY APT 8410
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5336
Practice Address - Country:US
Practice Address - Phone:808-419-8102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
NMMD 2011 0166207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program