Individual
DR. DANIEL BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 COLUMBIA ST, SAN DIEGO, CA 92101-3454
(858) 480-1044
Mailing address
1350 COLUMBIA ST, SAN DIEGO, CA 92101-3454
(858) 480-1044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A84077
CA
Other
Enumeration date
05/18/2009
Last updated
03/25/2016
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