Individual
MR. MICHELE ANTHONY BROCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4130
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4130
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
17815
CA
Other
Enumeration date
11/09/2006
Last updated
01/11/2022
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