Individual
CAMERON J BROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
280 FORT SANDERS WEST BLVD STE 101, KNOXVILLE, TN 37922-3352
(865) 539-0270
(833) 908-2106
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4959
TN
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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