Corbin James Brokaw, PA-C
Physician Assistant, Surgical in Seattle, WA. Individual provider (NPI-1).
NPI number1982189023
StatusActive
Last updated in NPPESOct 25, 2018
Details
- NPI
- 1982189023
- Entity type
- Individual (NPI-1)
- Name
- Corbin James Brokaw
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2018
- Last updated
- Oct 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA60899309 | WA | Yes |
Practice location
2409 N 45th StSeattle, WA 98103-6907
Phone 206-633-8100 · Fax 206-633-6107
Mailing address
2409 N 45th StSeattle, WA 98103-6907
Phone 206-633-8100 · Fax 206-633-6107
Other practice locations
5300 Tallman Ave Nw
Seattle, WA 98107-3932
Seattle, WA 98107-3932
Phone 206-782-2700
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