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Individual

CHRISTOPHER M BRODINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM, PA

Contact information

Practice address
2010 SW 10TH AVE, TOPEKA, KS 66604-1406
(785) 354-7608
(785) 354-4202
Mailing address
2010 SW 10TH AVE, TOPEKA, KS 66604-1406
(785) 354-7608
(785) 354-4202

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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