Provider Demographics
NPI:1942711486
Name:BRASSARD, ALAIN (MD FRCPC FABD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:
Last Name:BRASSARD
Suffix:
Gender:M
Credentials:MD FRCPC FABD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 C ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3300
Mailing Address - Country:US
Mailing Address - Phone:916-734-6657
Mailing Address - Fax:916-442-5702
Practice Address - Street 1:3301 C ST STE 1400
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3367
Practice Address - Country:US
Practice Address - Phone:916-734-6657
Practice Address - Fax:916-442-5702
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC152008207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology