| Doctor Name: | DR. GERALD S BRONSTEIN |
| NPI Number: | 1316973175 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | AZ22947 |
| Business Practice Address: | 2530 W Hwy 89a Bldg A Sedona, AZ - 86336 |
| Business Phone Number: | 9282034813 |
| Business Fax Number: | 9282030201 |
| Mailing Address: | 503 El Camino Rd, SEDONA |
| State: | AZ |
| Postal Code: | 863365171 |
| Phone Number: | 9282822791 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | AZ22947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |