DR. Brian J Supple, M.D.

NPI #1467581751 in Newbury Park, California

Provider Information

NPI Number: 1467581751
Entity Type: Individual
Name: DR. Brian J Supple, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Mar 5, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 1000 NEWBURY RD STE 285
City: Newbury Park
State: California
ZIP Code: 91320-6445
Phone: (805) 499-7971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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