Individual
DR. BROOKE ASHLEY GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
3095 OLD CONEJO RD STE 100, NEWBURY PARK, CA 91320-2130
(805) 273-1415
(805) 823-6207
Mailing address
3095 OLD CONEJO RD STE 100, NEWBURY PARK, CA 91320-2130
(805) 273-1415
(805) 823-6207
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4889
LICENSE
CA
Enumeration date
11/29/2007
Last updated
02/28/2018
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