Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A159364 | CA |
Y | 2081P2900X | Pain Medicine | A159364 | CA |
NPI | 1063918506 |
---|---|
Provider Name | Christopher Brophy |
First Address | Sacramento, CA 95822-1826 |
Second Address | Sacramento, CA 95817-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2018 |
Last Update Date | 21/07/2021 |