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Individual

PAMELA M BROCKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPSS

Contact information

Practice address
1033 BALDY MOUNTAIN RD, SANDPOINT, ID 83864-9202
(208) 265-6252
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 265-6252

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
ID

Other

Enumeration date
04/14/2026
Last updated
04/14/2026
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