Gerald Lewis Brody M.D.

NPI 1366575813 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1366575813
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
11716 ENTERPRISE DR
AUBURN CA, 95603-3732, US
Phone (530) 889-6700
Fax (530) 886-5415
Business Location
2052 OXBOW CT
MEADOW VISTA CA, 95722-9415, US
Phone (530) 878-7478
Fax (530) 878-2558
Toxanomy
Taxonomy Code 2084P0804X
License State California
License Number A018113
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According to our database, Gerald Lewis Brody M.D. NPI is 1366575813, taxonomy code is 2084P0804X and license number is A018113, license state is located at California. Gerald Lewis Brody M.D. physically located at 11716 Enterprise Dr, Auburn CA, 95603-3732. NPI Number Gerald Lewis Brody M.D. has the Individual type.

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1366575813 NPI number is provided on an as is basis without warranty of any kind. 1366575813 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Lewis Brody M.D. are for informational purposes only.