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Wayne Grover Brisbane, MD
Urology Physician in Los Angeles, California
NPI 1346583176

Wayne Grover Brisbane is a Urology Physician based in Los Angeles, CA. Wayne Grover Brisbane practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Wayne Grover Brisbane is 1346583176 and holds a License No. ME150237 (California).

The current practice location address for Wayne Grover Brisbane is 200 Ucla Medical Plz Ste 140, Los Angeles, CA and can be reached out via phone at 310-794-7152 and via fax at 310-794-1666.

Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346583176
Provider Name
Wayne Grover Brisbane
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Ucla Medical Plz Ste 140, Los Angeles, CA, 90045-5631
Phone Number
310-794-7152
Fax Number
310-794-1666
Provider Enumeration Date
03/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110701200 05 FL
institution
Provider Business Practice Location Address Details
Address
200 Ucla Medical Plz Ste 140
City
Los Angeles
State
California
Zip
90095-6410
Phone Number
310-794-7152
Fax Number
310-794-1666
person
Provider Business Mailing Address Details
Address
200 Ucla Medical Plz Ste 140
City
Los Angeles
State
California
Zip
90095-6410
Phone Number
310-794-7152
Fax Number
310-794-1666
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
ME150237 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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