DR JEFF BROFFMAN A MEDICAL CORP
Medical Practice at Sonoma Ave, Santa Rosa, CA

License number
California G53420
Category
Medical Practice
Type
Otolaryngology
Owner
Name: NENA KNIGHT
Title: OFFICE MANAGER
Phone: (707) 526-7920
Address
Address
1144 Sonoma Ave #101, Santa Rosa, CA 95405
National Provider ID: 1346315181
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. JEFF BROFFMAN, A MEDICAL CORPORATION

1144 Sonoma Ave #101, Santa Rosa, CA 95405

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Dr Jeff Broffman A Medical Cor
Registration:
Jul 12, 2004
State ID:
C2617724
Business type:
Articles of Incorporation
Medical Doctor, Presidents:
Nena Knight (Office Manager),Jeff Broffman Medical Doctor, President, inactive

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