Individual
BRIAN GARRETT ROCKOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 ROLLING RIDGE DR, SUITE 100, STATE COLLEGE, PA 16801-7641
(814) 867-0670
(814) 867-7616
Mailing address
320 ROLLING RIDGE DR, SUITE 100, STATE COLLEGE, PA 16801-7641
(814) 867-0670
(814) 867-7616
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD428760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017008480001
—
PA
Enumeration date
07/10/2006
Last updated
06/20/2013
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