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Contact Information

ROSS BROCKMAN, DO
1703 S MERIDIAN STE 101
PUYALLUP, WA98371-7590
 Phone: 253-848-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ROSS BROCKMAN · (Male)

NPI Number 1568842185
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/09/2015
Last updated 12/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # R-10324
  • WA License # OP61156882
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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