Individual
CARLOS BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC HIS
Contact information
Practice address
8751 N 51ST AVE, STE 109, GLENDALE, AZ 85302-4943
(623) 915-5568
(623) 915-5641
Mailing address
215 SHUMAN BLVD, STE 401, NAPERVILLE, IL 60563-8458
(630) 303-5380
(978) 313-6824
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD1292
AZ
Other
Enumeration date
12/16/2015
Last updated
04/20/2016
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