Judy P Broeckel is a Family Medicine in Yreka, California. Judy P Broeckel practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Judy P Broeckel is 1831116821. The last update date is 2013-03-13.
Judy P Broeckel's current location address is 475 Bruce St, Yreka, California. You can contact this provider via phone number 5308423507 and fax number 5308429412. The mailing address for Judy P Broeckel is 475 Bruce St, Yreka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy P Broeckel |
|---|---|
| Address | 475 Bruce St, Yreka, California |
| Phone Number | 5308423507 |
| Fax Number | 5308429412 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831116821 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2013-03-13 |
Provider Mailing Address Detail
| Address | 475 Bruce St |
|---|---|
| City | Yreka |
| State | California (CA) |
| Post Code | 960973474 |
| Phone Number | 5308423507 |
| Fax Number | 5308429412 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G64163 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RHM53948F | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Judy P Broeckel?
The Judy P Broeckel has been issued the NPI (National Provider Identifier) 1831116821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Judy P Broeckel's physical address?
The Judy P Broeckel is physically located at 475 Bruce St, in the city of Yreka, CA, with the postal code 960973474.
What is Judy P Broeckel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Judy P Broeckel is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did Judy P Broeckel receive its 1831116821 assignment from the Centers for Medicare & Medicaid Services?
The Judy P Broeckel was assigned its 1831116821 on 2006-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Judy P Broeckel most recently updated or revised?
The information pertaining to Judy P Broeckel, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-13.
NPI Number: 1215930425
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