| Doctor Name: | DR. JERALYN ELLICE BROSSFIELD |
| NPI Number: | 1073689683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A064527 |
| Business Practice Address: | 45280 Seeley Dr 3rd Floor La Quinta, CA - 922536834 |
| Business Phone Number: | 7606107220 |
| Business Fax Number: | 7606107302 |
| Mailing Address: | 45280 Seeley Dr, 3rd Floor LA QUINTA |
| State: | CA |
| Postal Code: | 922536834 |
| Phone Number: | 7606107220 |
| Fax Number: | 7606107302 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | A064527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |