Individual provider · Type 1 NPI
Edwin Chamberlayne Brockenbrough, MD
Vascular Surgery Physician · Hunts Point, WA
NPI number
1124063557
Active
Practice location
3630 Hunts Point Rd
Hunts Point, WA 98004-1114
Fax (425) 454-0205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 8967 (WA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1124063557
Edwin Chamberlayne Brockenbrough, MD's National Provider Identifier is 1124063557, issued on Jun 19, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Hunts Point, WA. The record was last updated on Aug 29, 2007.