Jeralyn Ellice Brossfield MD

NPI 1073689683 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1073689683
Gender Female
Enumeration Date 11/27/2006
Last Updated 02/25/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
45280 SEELEY DR
3RD FLOOR
LA QUINTA CA, 92253-6834, US
Phone (760) 610-7220
Fax (760) 610-7302
Business Location
45280 SEELEY DR
3RD FLOOR
LA QUINTA CA, 92253-6834, US
Phone (760) 610-7220
Fax (760) 773-1239
Toxanomy
Taxonomy Code 207VG0400X
License State California
License Number A064527
Remove 1073689683 NPI Number
 

According to our database, Dr. Jeralyn Ellice Brossfield MD NPI is 1073689683, taxonomy code is 207VG0400X and license number is A064527, license state is located at California. Jeralyn Ellice Brossfield MD physically located at 45280 Seeley Dr, La Quinta CA, 92253-6834. NPI Number Jeralyn Ellice Brossfield MD has the Individual type.

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1073689683 NPI number is provided on an as is basis without warranty of any kind. 1073689683 is maintained by the National Plan & Provider Enumeration System. The contents of Jeralyn Ellice Brossfield MD are for informational purposes only.