| Brockman Med Corp | |
|
101 W Argonne Dr Suite 58 Kirkwood MO 63122-4201 | |
| (314) 498-2154 | |
| Not Available |
| Full Name | Brockman Med Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 101 W Argonne Dr, Kirkwood, Missouri |
| Authorized Official Name and Position | Don L Brockman (CEO) |
| Authorized Official Contact | 3144982154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brockman Med Corp 101 W Argonne Dr Suite 58 Kirkwood MO 63122-4201 | Brockman Med Corp 101 W Argonne Dr Suite 58 Kirkwood MO 63122-4201 Ph: (314) 498-2154 |
| NPI Number | 1790091932 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 08/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790091932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R4P98 (Missouri) | Primary |
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