Individual
GARRETT WILLIAM BRONKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
310 SANTA FE DR STE 112, ENCINITAS, CA 92024-5123
(760) 690-3133
Mailing address
310 SANTA FE DR STE 112, ENCINITAS, CA 92024-5123
(760) 690-3133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64900
CA
Other
Enumeration date
09/04/2024
Last updated
10/29/2024
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