NPI Profile for ROSS BROCKMAN in PUYALLUP, WA.
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dermatology |
207NP0225X | 07 | Physician/Dermatology | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| 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 |
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| Hospital affiliation(s) | Not Available |
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ROSS BROCKMAN
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