Jacob Brockmann, PA-C

NPI 1861121212 · on the registry since 2022

Practice

Address: 18700 N 64th Dr Ste 205
Glendale, AZ 85308
Phone: (602) 277-6211
Organisation at this address: Malinka Care Pllc
Gregory A Bode Llc
Arrowhead Pediatrics
Larry L Griffith Md Pc
Layne Sandridge Md, Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: 207XX0005X
207XX0005X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona