Joe B. Brockman in San Diego - Medical

Joe B. Brockman - NPI 1801882055

Joe B. Brockman is a Medical in San Diego, California. Joe B. Brockman practices all healthcare services and medical treatments related to Medical. The NPI Number for Joe B. Brockman is 1801882055. The last update date is 2019-07-31.

Joe B. Brockman's current location address is 10790 Rancho Bernardo Rd., San Diego, California. You can contact this provider via phone number 8585547439 and fax number 6192725239. The mailing address for Joe B. Brockman is 10790 Rancho Bernardo Rd., San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Joe B. Brockman
Address 10790 Rancho Bernardo Rd., San Diego, California
Phone Number 8585547439
Fax Number 6192725239
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1801882055
Provider Enumeration Date 2005-09-23
Last Updated Date 2019-07-31

Provider Mailing Address Detail

Address 10790 Rancho Bernardo Rd.
City San Diego
State California (CA)
Post Code 921275705
Phone Number 8585547439
Fax Number 6192725239

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA15378
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Joe B. Brockman

What is the Joe B. Brockman's unique identification number?

The Joe B. Brockman has been assigned the NPI (National Provider Identifier) Number 1801882055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Joe B. Brockman is located?

The Joe B. Brockman is situated at the following address: 10790 Rancho Bernardo Rd., San Diego, CA, 921275705.

What is the area of specialization for Joe B. Brockman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Joe B. Brockman is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Joe B. Brockman receive the assignment of its 1801882055 from the Centers for Medicare & Medicaid Services?

The Joe B. Brockman was issued its 1801882055 by the Centers for Medicare & Medicaid Services on 2005-09-23.

When was the information regarding Joe B. Brockman most recently updated?

The details pertaining to the Joe B. Brockman, including its address, specialty, and other relevant information, were last refreshed on 2019-07-31.

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