Susan Brallier is a Pediatrics in Crescent City, California. Susan Brallier practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Brallier is 1083627517. The last update date is 2008-08-05.
Susan Brallier's current location address is 780 E Washington Blvd, Crescent City, California. You can contact this provider via phone number 7074646715 and fax number 7074649593. The mailing address for Susan Brallier is 780 E Washington Blvd, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Brallier |
|---|---|
| Address | 780 E Washington Blvd, Crescent City, California |
| Phone Number | 7074646715 |
| Fax Number | 7074649593 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1083627517 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | 780 E Washington Blvd |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955318397 |
| Phone Number | 7074646715 |
| Fax Number | 7074649593 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 2439 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20A10428 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Brallier by the Centers for Medicare & Medicaid Services?
The Susan Brallier has been issued the NPI (National Provider Identifier) 1083627517. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Brallier is located?
The Susan Brallier is situated at the following address: 780 E Washington Blvd, Crescent City, CA, 955318397.
What is Susan Brallier's area of expertise and its corresponding taxonomy classification?
The Susan Brallier's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did Susan Brallier receive its 1083627517 assignment from the Centers for Medicare & Medicaid Services?
The Susan Brallier was assigned its 1083627517 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Brallier most recently updated or revised?
The details related to Susan Brallier, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-05.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA