Individual
BRADLEY JAMES BROCKBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1830 GOOD HOPE RD, ENOLA, PA 17025-1233
(717) 988-8135
(717) 221-5600
Mailing address
1090 PEGGY DR APT 4, HUMMELSTOWN, PA 17036-9026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1169824
PA
363A00000X
Physician Assistant
Primary
MA062721
PA
Other
Enumeration date
08/03/2021
Last updated
05/08/2024
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