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Individual
CHRISTOPHER M BRODINE
Active
Individual
CHRISTOPHER M BRODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, PA
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00333
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114086
BLUE CROSS BLUE SHIELD IND. NUMBER
KS
01
—
12-00333
STATE LIC. #
KS
Enumeration date
02/06/2006
Last updated
03/07/2023
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