Brooke Gifford, Dpm Inc

NPI 1023361862 - Podiatrist - 213ES0103X

NPI Details
NPI 1023361862
Enumeration Date 10/17/2012
Last Updated 10/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BROOKE BROOKE
Position DOCTOR
Phone (805) 496-2383
Fax
Practice Location
425 HAALAND DR
201
THOUSAND OAKS CA, 91361-5229, US
Phone (805) 496-2383
Fax
Business Location
710 TENNIS CLUB LN
CA
THOUSAND OAKS CA, 91360-4213, US
Phone (805) 444-8424
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E4889
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According to our database, Brooke Gifford, Dpm Inc NPI is 1023361862, taxonomy code is 213ES0103X and license number is E4889, license state is located at California. Brooke Gifford, Dpm Inc physically located at 425 Haaland Dr, Thousand Oaks CA, 91361-5229. NPI Number 1033115704 has the healthcare provider type.

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1023361862 NPI number is provided on an as is basis without warranty of any kind. 1023361862 is maintained by the National Plan & Provider Enumeration System. The contents of Brooke Gifford, Dpm Inc are for informational purposes only.