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MR. ROBERT HARRY BROCKMAN DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1053312967

Individual Registrant:
MR. ROBERT HARRY BROCKMAN DC
Gender: M
Sole Proprietor

Location and contact information for practice:
2311 AVENUE L STE 3  FORT MADISON, IA 52627-4031 US
Tel: 319-372-3800  Fax: --

Contact information for business:
PO BOX 352  FORT MADISON, IA 52627-0352 US
Tel: 319-372-3800  Fax: --

Registration Information:
NPI: 1053312967
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
IA04987

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1218768IA05
BCBS10206IA01




HEALTH CARE JOBS IA - Page 1



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