Organization
DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DESCHAMPS-BRALY MD (OWNER)
(415) 524-3922
Entity
Organization
Contact information
Practice address
450 SUTTER ST. #1520, SAN FRANCISCO, CA 94108
(415) 624-3922
(415) 276-9382
Mailing address
450 SUTTER ST. #1520, SAN FRANCISCO, CA 94107
(415) 624-3922
(415) 276-9382
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A121399
CA
Other
Enumeration date
05/27/2014
Last updated
07/17/2015
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