Individual provider · Type 1 NPI
Bruce Brokaw, P.A.-C.
Medical Physician Assistant · Wells, ME
NPI number
1316159072
Active
Practice location
400 Captain Thomas Road
Wells, ME 04090-7552
Mailing address
400 Captain Thomas Rd, Wells
Maine, ME 04090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0170 (NH) |
Medical Physician Assistant: Definition to come...
About NPI 1316159072
Bruce Brokaw, P.A.-C.'s National Provider Identifier is 1316159072, issued on May 4, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wells, ME. The record was last updated on Jul 8, 2007.