| Jeralyn Brossfield M.d., A Professional Corporation | |
|
72301 Country Club Dr Ste 105 Rancho Mirage CA 92270-8007 | |
| (760) 567-8207 | |
| Not Available |
| Full Name | Jeralyn Brossfield M.d., A Professional Corporation |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 72301 Country Club Dr Ste 105, Rancho Mirage, California |
| Authorized Official Name and Position | Jeralyn Brossfield (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7696912069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeralyn Brossfield M.d., A Professional Corporation 72301 Country Club Dr Ste 105 Rancho Mirage CA 92270-8007 Ph: (760) 567-8207 | Jeralyn Brossfield M.d., A Professional Corporation 72301 Country Club Dr Ste 105 Rancho Mirage CA 92270-8007 Ph: (760) 567-8207 |
| NPI Number | 1790598381 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790598381 | NPI | - | NPPES |
| AO64527 | Other | CA | CA LICENSE NUMBER |
| 10943589 | Other | CA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
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