Brockman Med Corp

NPI #1790091932 in Kirkwood, Missouri

Provider Information

NPI Number: 1790091932
Entity Type: Organization
Organization Name: Brockman Med Corp
Primary Specialty: Family Medicine
Enumeration Date: Aug 25, 2010
Last Updated: Aug 25, 2010

Practice Location

Address: 101 W ARGONNE DR
Address 2: SUITE 58
City: Kirkwood
State: Missouri
ZIP Code: 63122-4201
Phone: (314) 498-2154

Authorized Official

Name: DON L BROCKMAN
Title: CEO
Phone: (314) 498-2154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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