Individual
DR. ISAAC M. BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3199
(406) 752-5111
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3199
(406) 752-5111
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
223813
MA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
94397
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710957428
—
MA
Enumeration date
01/25/2006
Last updated
02/18/2021
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