Individual provider · Type 1 NPI

Brandon George McMahan, IDC

Military Health Care Provider · San Diego, CA

NPI number 1437669694 Active

Practice location

10172 Keppler Dr
San Diego, CA 92124-2504

Call (561) 628-8901 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1437669694

Brandon George McMahan, IDC's National Provider Identifier is 1437669694, issued on Oct 2, 2017. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Oct 2, 2017.