Ian Dallas Brodie MD

NPI 1053328641 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1053328641
Gender Male
Enumeration Date 08/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
911 ELECTRIC AVE
SEAL BEACH CA, 90740, US
Phone (562) 594-8635
Fax (562) 594-6009
Business Location
911 ELECTRIC AVE
SEAL BEACH CA, 90740, US
Phone (562) 594-8635
Fax
Toxanomy
Taxonomy Code 207X00000X
License State California
License Number A29773
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According to our database, Ian Dallas Brodie MD NPI is 1053328641, taxonomy code is 207X00000X and license number is A29773, license state is located at California. Ian Dallas Brodie MD physically located at 911 Electric Ave, Seal Beach CA, 90740. NPI Number Ian Dallas Brodie MD has the Individual type.

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1053328641 NPI number is provided on an as is basis without warranty of any kind. 1053328641 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Dallas Brodie MD are for informational purposes only.