Individual
MITCHELL D BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2914 MITCHELL RD SE, PORT ORCHARD, WA 98366-4428
(360) 874-2020
(360) 874-0567
Mailing address
2914 MITCHELL RD SE, PORT ORCHARD, WA 98366-4428
(360) 874-2020
(360) 874-0567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3652
WA
Other
Enumeration date
12/06/2005
Last updated
09/20/2013
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