Individual
DR. LAURA ANNE BROGOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 E ST NW, SA-1 SUITE L209, BUREAU OF MEDICAL SERVICES, WASHINGTON, DC 20522
(415) 225-0319
Mailing address
2401 E ST NW, SA-1 STE L209 BUREAU OF MEDICAL SERVICES, US DOS, WASHINGTON, DC 20522
(415) 225-0319
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
MD500002925
DC
2084P0800X
Psychiatry Physician
MD172067
OR
Other
Enumeration date
04/17/2012
Last updated
05/08/2024
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