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Jeffrey L Brayshaw, PA
Medical Physician Assistant in Modesto, California
NPI 1932284338

Jeffrey L Brayshaw is a Medical Physician Assistant based in Modesto, CA and is specialized in Medical. Jeffrey L Brayshaw practices in Modesto, CA and has the professional credentials of PA. The NPI Number for Jeffrey L Brayshaw is 1932284338 and holds a License No. PA17131 (California).

The current practice location address for Jeffrey L Brayshaw is 1501 Oakdale Rd, Modesto, CA and can be reached out via phone at 209-572-4222.

Location: 1501 Oakdale Rd, Modesto, CA, 95355-4201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932284338
Provider Name
Jeffrey L Brayshaw
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1501 Oakdale Rd, Modesto, CA, 95355-4201
Phone Number
209-572-4222
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA17131 01 CA PHYSICIAN ASSISTANT
institution
Provider Business Practice Location Address Details
Address
1501 Oakdale Rd
City
Modesto
State
California
Zip
95355-3381
Phone Number
209-572-4222
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Oakdale Rd
City
Modesto
State
California
Zip
95355-3381
Phone Number
209-572-4222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA17131 (California)
Definition
Definition to come...
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