Ian D Brodie Md F R C S Inc

NPI 1164742557 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1164742557
Enumeration Date 06/08/2010
Last Updated 02/01/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name IAN D IAN
Position OWNER
Phone (562) 594-8635
Fax (562) 594-6009
Practice Location
911 ELECTRIC AVENUE
SEAL BEACH CA, 90740-6315, US
Phone (562) 594-8635
Fax (562) 594-6009
Business Location
911 ELECTRIC AVENUE
SEAL BEACH CA, 90740-6315, US
Phone (562) 594-8635
Fax (562) 594-6009
Toxanomy
Taxonomy Code 305R00000X
License State California
License Number A29773
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According to our database, Ian D Brodie Md F R C S Inc NPI is 1164742557, taxonomy code is 305R00000X and license number is A29773, license state is located at California. Ian D Brodie Md F R C S Inc physically located at 911 Electric Avenue, Seal Beach CA, 90740-6315. NPI Number 1033115704 has the healthcare provider type.

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1164742557 NPI number is provided on an as is basis without warranty of any kind. 1164742557 is maintained by the National Plan & Provider Enumeration System. The contents of Ian D Brodie Md F R C S Inc are for informational purposes only.