Millie B Brockie, PA

NPI #1174566798 in Tuba City, Arizona

Provider Information

NPI Number: 1174566798
Entity Type: Individual
Name: Millie B Brockie, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 167 NORTH MAIN STREET
City: Tuba City
State: Arizona
ZIP Code: 86045-0600
Phone: (928) 283-2501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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