Daniel Brocksmith is a Surgical in Tacoma, Washington. Daniel Brocksmith practices all healthcare services and medical treatments related to Surgical. The NPI Number for Daniel Brocksmith is 1114942554. The last update date is 2020-10-09.
Daniel Brocksmith's current location address is Po Box 5299, Tacoma, Washington. You can contact this provider via phone number 2534037537 and fax number 2534037539. The mailing address for Daniel Brocksmith is Po Box 5299, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Brocksmith |
|---|---|
| Address | Po Box 5299, Tacoma, Washington |
| Phone Number | 2534037537 |
| Fax Number | 2534037539 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114942554 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2020-10-09 |
Provider Mailing Address Detail
| Address | Po Box 5299 |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984150299 |
| Phone Number | 2534037537 |
| Fax Number | 2534037539 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 52770 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8160BR | WA | REGENCE PIN | |
| 8939391 | WA | CRIME VICTIMS COMP PIN | |
| 191330 | WA | DEPT OF L&I PIN | |
| 8408346 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Daniel Brocksmith by the Centers for Medicare & Medicaid Services?
The Daniel Brocksmith has been issued the NPI (National Provider Identifier) 1114942554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Daniel Brocksmith is physically located?
The Daniel Brocksmith is situated at the following address: Po Box 5299, Tacoma, WA 984150299.
What is the Daniel Brocksmith's specialty and taxonomy code?
The Daniel Brocksmith's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Daniel Brocksmith receive its 1114942554 assignment from the Centers for Medicare & Medicaid Services?
The Daniel Brocksmith was assigned its 1114942554 by the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date was the information pertaining to Daniel Brocksmith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Daniel Brocksmith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-09.
NPI Number: 1356344279
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