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Individual

COLIN C BROCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
401 MATTHEW ST, EMERGENCY DEPT, MARIETTA, OH 45750-1635
(740) 374-1400
Mailing address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 376-1939
(740) 374-1693

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.013100
OH

Other

Enumeration date
04/26/2014
Last updated
08/21/2024
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