Organization
BROCKMAN MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON L BROCKMAN (CEO)
(314) 498-2154
Entity
Organization
Contact information
Practice address
101 W ARGONNE DR, SUITE 58, KIRKWOOD, MO 63122-4201
(314) 498-2154
Mailing address
101 W ARGONNE DR, SUITE 58, KIRKWOOD, MO 63122-4201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4P98
MO
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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