Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN THOMAS HAVEN, DPM
ActiveDR. BRIAN THOMAS HAVEN, DPM is a Radiology Podiatrist healthcare provider located in GRAND TERRACE, California. NPI 1609356591 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · GRAND TERRACE, CA
Registration Details
- NPI Number
- 1609356591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2018 (8.0108954128909 yrs)
- Last Updated
- Jan 26, 2024
- Licenses
-
POD-001008 (AZ)E6017 (CA)
Practice Information
- Address
-
11980 MOUNT VERNON AVEGRAND TERRACE, CA, 923135172Browse CA providers · Browse ZIP 92313
- Phone
- 9098631097
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.