Individual
ROSS BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5008
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
OP61156882
WA
208000000X
Pediatrics Physician
R-10324
IA
Other
Enumeration date
06/09/2015
Last updated
12/01/2022
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