Organization
BROOKE GIFFORD, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE GIFFORD DPM (DOCTOR)
(805) 444-8424
Entity
Organization
Contact information
Practice address
425 HAALAND DR, 201, THOUSAND OAKS, CA 91361-5229
(805) 496-2383
Mailing address
710 TENNIS CLUB LN, CA, THOUSAND OAKS, CA 91360-4213
(805) 444-8424
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4889
CA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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