Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEAH W. BROCKWAY, MD
ActiveLEAH W. BROCKWAY, MD is a 2083A0100X healthcare provider located in FAIRCHILD AFB, Washington. NPI 1134113905 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · FAIRCHILD AFB, WA
Registration Details
- NPI Number
- 1134113905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2005 (20.948483562226 yrs)
- Last Updated
- Feb 14, 2008
- Licenses
-
5279439-1205 (UT)MD00041103 (WA)11633 (AL)17373 (LA)
Practice Information
- Address
-
92 MEDICAL GROUP/ FLIGHT MEDICINE CLINIC700 HOSPITAL LOOP, BLDG 9000FAIRCHILD AFB, WA, 99011Browse WA providers · Browse ZIP 99011
- Phone
- 5092475755
- Fax
- 5092478833
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
Other 2083A0100X Providers in FAIRCHILD AFB, WA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT JOSHUA GRANT | D.O. | 1619961505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.