Individual
LEAH W. BROCKWAY
Active
Individual
LEAH W. BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5279439-1205
UT
2083A0100X
Aerospace Medicine Physician
Primary
MD00041103
WA
208600000X
Surgery Physician
11633
AL
208600000X
Surgery Physician
17373
LA
Other
Enumeration date
09/07/2005
Last updated
02/14/2008
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