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Individual

DR. STEVEN K BROCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1112 YANCEY ST, SHELBY, NC 28150-3672
(704) 481-7713
(704) 235-1971
Mailing address
1112 YANCEY ST, SHELBY, NC 28150-3672
(704) 481-7713
(704) 235-1971

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
33212
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
33212
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982129136
NC
Enumeration date
09/12/2005
Last updated
04/24/2019
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