Individual
DR. ANDREW TRUEMAN BROCKENBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3544
(425) 690-9444
Mailing address
3600 LIND AVE SW, STE 100, RENTON, WA 98057-4934
(425) 656-5412
(425) 656-4079
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00039138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007639
—
WA
Enumeration date
05/27/2006
Last updated
08/17/2021
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