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NANCY BROCKINGTON MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1629119334

Individual Registrant:
 NANCY  BROCKINGTON MD
Gender: F
Sole Proprietor

Location and contact information for practice:
38883 HWY 299  WILLOW CREEK, CA 95573 US
Tel: 530-629-3111  Fax: --

Contact information for business:
670 9TH ST SUITE 203 ARCATA, CA 95521-6248 US
Tel: 707-826-8633  Fax: 707-826-8638

Registration Information:
NPI: 1629119334
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG69128

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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