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Bruce Brokaw, PA-C
Medical Physician Assistant in Wells, Maine
NPI 1316159072

Bruce Brokaw is a Medical Physician Assistant based in Maine, ME and is specialized in Medical. Bruce Brokaw practices in Wells, ME and has the professional credentials of PA-C. The NPI Number for Bruce Brokaw is 1316159072 and holds a License No. 0170 (Maine).

The current practice location address for Bruce Brokaw is 400 Captain Thomas Road, Wells, ME and can be reached out via phone at 603-740-3293.

Location: 400 Captain Thomas Road, Wells, ME, 04090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316159072
Provider Name
Bruce Brokaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
400 Captain Thomas Road, Wells, ME, 04090
Phone Number
603-740-3293
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Captain Thomas Road
City
Wells
State
Maine
Zip
04090-7552
Phone Number
603-740-3293
Fax Number
person
Provider Business Mailing Address Details
Address
400 Captain Thomas Road
City
Wells
State
Maine
Zip
04090-7552
Phone Number
603-740-3293
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0170 (New Hampshire)
Definition
Definition to come...
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