JAMIE BROCKMAN PAC NPI 1053075820

NPI Information

Jamie Brockman, PAC is a medical physician assistant in Surprise, AZ. Jamie Brockman, PAC NPI is 1053075820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14674 W MOUNTAIN VIEW BLVD STE 200
SURPRISE, AZ
ZIP 85374-708
Phone: (623) 544-6860
Fax: (623) 544-6861

The NPI 1053075820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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