Individual
JESSICA LOUISE BRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, H3583, PALO ALTO, CA 94306
(650) 723-6412
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A129368
CA
207L00000X
Anesthesiology Physician
ME113076
FL
Other
Enumeration date
05/08/2008
Last updated
04/08/2024
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