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Individual

BRUCE BROKAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C.

Contact information

Practice address
400 CAPTAIN THOMAS ROAD, WELLS, ME 04090-7552
(603) 740-3293
Mailing address
400 CAPTAIN THOMAS RD, WELLS, MAINE, ME 04090
(603) 740-3293

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0170
NH

Other

Enumeration date
05/04/2007
Last updated
07/08/2007
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