Hayden T Brickle, P.A.
Physician Assistant, Medical in Murrieta, CA. Individual provider (NPI-1).
NPI number1528211331
StatusActive
Last updated in NPPESOct 8, 2013
Details
- NPI
- 1528211331
- Entity type
- Individual (NPI-1)
- Name
- Hayden T Brickle
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2008
- Last updated
- Oct 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA22920 | CA | Yes |
| 363A00000X | Physician Assistant | MA054431 | PA | |
| 363AM0700X | Physician Assistant, Medical | 0010-02002 | NC | |
| 363AM0700X | Physician Assistant, Medical | OA002840 | PA |
Practice location
25495 Medical Center Dr Ste 102Murrieta, CA 92562-4903
Phone 951-506-9536
Mailing address
25495 Medical Center Dr Ste 102Murrieta, CA 92562-4903
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