Whalio Doctors

NPI 1134113905

Leah W. Brockway, MD

Practitioner Aerospace Medicine Physician Fairchild Afb, WA

Practice location

Address
92 Medical Group/ Flight Medicine Clinic 700 Hospital Loop, Bldg 9000, Fairchild Afb, WA 99011
Phone
(509) 247-5755
Fax
(509) 247-8833
Mailing address
1614 S Lincoln St, Spokane, WA 99203-1053

Registered specialties (4)

Aerospace Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence MD00041103 (WA)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5279439-1205 (UT)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 11633 (AL)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 17373 (LA)

Registry record

NPI
1134113905
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Sep 2005
Record last updated
14 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.