Individual
DR. EDWIN CHAMBERLAYNE BROCKENBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3630 HUNTS POINT RD, HUNTS POINT, WA 98004-1114
(425) 454-6432
(425) 454-0205
Mailing address
3630 HUNTS POINT RD, HUNTS POINT, WA 98004-1114
(425) 454-6432
(425) 454-0205
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
8967
WA
Other
Enumeration date
06/19/2006
Last updated
08/29/2007
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