Individual
GLORIA I BROUGH-STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2755 HERNDON AVE, CLOVIS, CA 93611-6800
(559) 324-4000
Mailing address
PO BOX 11259, WESTMINSTER, CA 92685-1259
(866) 675-9441
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G38221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G382210
—
CA
Enumeration date
07/10/2006
Last updated
05/16/2008
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