Individual
BRENDON DOUGLAS BROCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2085 RUSTIN AVE STE 2, RIVERSIDE, CA 92507
(951) 509-8200
(951) 358-6622
Mailing address
2085 RUSTIN AVE STE 2, RIVERSIDE, CA 92507-2498
(951) 509-8200
(951) 358-6622
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A135079
CA
Other
Enumeration date
03/26/2013
Last updated
07/30/2018
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