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Individual

BROM D BECKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-9152
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-9152

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A43660
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A436600
CA
Enumeration date
03/20/2006
Last updated
05/20/2021
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