Individual
DR. DOUGLAS C BROCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373-5916
(909) 793-3311
(909) 796-4158
Mailing address
PO BOX 12209, SAN BERNARDINO, CA 92423-2209
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G41371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G413710
—
CA
Enumeration date
06/27/2006
Last updated
02/26/2020
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