Individual
CHRISTOPHER C BRODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036112196
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083651004
NPI
IL
Enumeration date
05/31/2006
Last updated
12/16/2013
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