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Organization

PETER H BROEKELSCHEN MD INC

Active
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Organization

PETER H BROEKELSCHEN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER H BROEKELSCHEN MD (PRESIDENT OWNER)
(949) 759-1042
Entity
Organization

Contact information

Practice address
1441 AVOCADO AVE, SUITE 607, NEWPORT BEACH, CA 92660
(949) 759-1042
(949) 759-0143
Mailing address
1441 AVOCADO AVE, SUITE 607, NEWPORT BEACH, CA 92660
(949) 759-1042
(949) 759-0143

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A25076
CA

Other

Enumeration date
08/29/2006
Last updated
04/23/2008
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