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Individual

MS. BROOKE DANIELLE SCRUGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3245 SOUTHWESTERN BLVD., ORCHARD PARK, NY 14127-1241
(716) 699-9032
(716) 699-9035
Mailing address
35 SHERWIN DR, TONAWANDA, NY 14150
(443) 739-6316

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005011
MD

Other

Enumeration date
03/25/2013
Last updated
09/18/2020
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