Individual
DOUGLAS L. BROCKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MARIO CAPECCHI DR, #1475, SALT LAKE CITY, UT 84113-1103
(801) 662-5349
Mailing address
100 MARIO CAPECCHI DR, #1475, SALT LAKE CITY, UT 84113-1103
(801) 662-5349
(801) 662-5345
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
178841-1205
UT
Other
Enumeration date
10/13/2006
Last updated
11/11/2021
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