Organization
KIRK E. BROCKMAN M.D. DBA ST. CLAIR MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK EDWARD BROCKMAN M.D. (OWNER)
(636) 629-3300
Entity
Organization
Contact information
Practice address
370 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1305
(636) 629-3300
(636) 629-7377
Mailing address
370 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1305
(636) 629-3300
(636) 629-7377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2F53
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500013503
—
MO
Enumeration date
01/05/2007
Last updated
06/16/2008
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