Organization
JACQUELINE BROGAN MD
Active
Organization
JACQUELINE BROGAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BROGAN MD (PARTNER)
(805) 331-1763
Entity
Organization
Contact information
Practice address
230 PROSPECT PL STE 260, CORONADO, CA 92118-1987
(619) 437-1146
Mailing address
246 5TH ST, ENCINITAS, CA 92024-3256
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
02/25/2020
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