Individual
JORDAN C DESCHAMPS-BRALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
360 POST ST STE 901, SAN FRANCISCO, CA 94108-4988
(415) 624-3922
Mailing address
360 POST ST STE 901, SAN FRANCISCO, CA 94108-4988
(415) 624-3922
(415) 276-9382
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A-121399
CA
208200000X
Plastic Surgery Physician
A121399
CA
208600000X
Surgery Physician
24625
OK
Other
Enumeration date
02/07/2007
Last updated
12/20/2019
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