Individual
IDA BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3055 WASHINGTON RD STE 101, MC MURRAY, PA 15317-3279
(724) 260-0550
Mailing address
3055 WASHINGTON RD STE 101, MC MURRAY, PA 15317-3279
(724) 260-0550
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD477471
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD477471
PA
Other
Enumeration date
03/22/2019
Last updated
06/20/2024
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