Individual
DAWN DIANE BROKAW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6553 E BAYWOOD AVE, SUITE 103, MESA, AZ 85206
(408) 985-6200
(480) 985-2951
Mailing address
PO BOX 32950, PHOENIX, AZ 85064
(602) 433-1822
(602) 246-7060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16107
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106424
—
AZ
05
—
276461
—
AZ
Enumeration date
02/13/2006
Last updated
07/09/2007
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