Amy Brokken PA-C

NPI 1861471773 - Physician Assistant - 363A00000X

NPI Details
NPI 1861471773
Gender Female
Enumeration Date 01/10/2006
Last Updated 06/26/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
410 W 10TH AVE
COLUMBUS OH, 43210-1240, US
Phone (614) 293-8305
Fax (614) 293-3124
Business Location
COLUMBUS OH, 43202-1559, US
Phone (614) 293-2046
Fax (352) 265-5606
Taxonomy Code 363A00000X
License State Washington
License Number PA10004767
Remove 1861471773 NPI Number

According to our database, Amy Brokken PA-C NPI is 1861471773, taxonomy code is 363A00000X and license number is PA10004767, license state is located at Washington. Amy Brokken PA-C physically located at 410 W 10th Ave, Columbus OH, 43210-1240. NPI Number Amy Brokken PA-C has the Individual type.

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1861471773 NPI number is provided on an as is basis without warranty of any kind. 1861471773 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Brokken PA-C are for informational purposes only.