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Daniel Brocksmith, PA-C
Surgical Physician Assistant in Tacoma, Washington
NPI 1114942554

Daniel Brocksmith is a Surgical Physician Assistant based in Tacoma, WA and is specialized in Surgical. Daniel Brocksmith practices in Tacoma, WA and has the professional credentials of PA-C. The NPI Number for Daniel Brocksmith is 1114942554 and holds a License No. 52770 (Washington).

The current practice location address for Daniel Brocksmith is 315 Martin Luther King Jr Way, Tacoma, WA and can be reached out via phone at 253-403-7537 and via fax at 253-403-7539. You can also correspond with Daniel Brocksmith through the mailing address at PO BOX 5299, TACOMA, WA - 98415-0299 (mailing address contact number: 253-403-7537).

Location: 315 Martin Luther King Jr Way, Tacoma, WA, 98415-0299
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Provider Profile Details
NPI Number
1114942554
Provider Name
Daniel Brocksmith
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
315 Martin Luther King Jr Way, Tacoma, WA, 98415-0299
Phone Number
253-403-7537
Fax Number
253-403-7539
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8160BR 01 WA REGENCE PIN
8939391 01 WA CRIME VICTIMS COMP PIN
191330 01 WA DEPT OF L&I PIN
8408346 05 WA
institution
Provider Business Practice Location Address Details
Address
315 Martin Luther King Jr Way
City
State
Zip
98405-4234
Phone Number
253-403-7537
Fax Number
253-403-7539
person
Provider Business Mailing Address Details
Address
Po Box 5299
City
State
Zip
98415-0299
Phone Number
253-403-7537
Fax Number
253-403-7539
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
52770 (California)
Definition
Definition to come...
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