Individual
BRYCE D JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
47647 CALEO BAY DR STE 110, LA QUINTA, CA 92253-8857
(760) 771-8260
(760) 564-1418
Mailing address
79405 HIGHWAY 111, LA QUINTA, CA 92253-8300
(760) 711-8260
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000875
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5582
CA
Other
Enumeration date
04/02/2010
Last updated
10/08/2025
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