MEDICARE: LEAH W. BROCKWAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5279439-1205	UT
2	2083A0100X	Aerospace Medicine Physician	MD00041103	WA
3	208600000X	Surgery Physician	11633	AL
4	208600000X	Surgery Physician	17373	LA

General Provider Information

NPI Number	:	1134113905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH W. BROCKWAY MD

Provider Business Mailing Address
First Line	:	1614 S LINCOLN ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-1053
Country	:	US
Telephone Number	:	509-995-3307
Fax Number	:	509-747-4234

Provider Business Practice Location Address
First Line	:	92 MEDICAL GROUP/ FLIGHT MEDICINE CLINIC
Second Line	:	700 HOSPITAL LOOP, BLDG 9000
City	:	FAIRCHILD AFB
State	:	WA
Zip	:	99011
Country	:	US
Telephone Number	:	509-247-5755
Fax Number	:	509-247-8833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	02/14/2008

Similar Medicare Providers

1184400574 — DANICA GAYLE LITTLE NP
Practice Location Address:

701 HOSPITAL LOOP # 9000
FAIRCHILD AFB, WA
99011-8704

Practice Phone: 509-247-2361
Practice Fax:

1063415917 — DR. SCOTT ANDREW MAZANEC DDS
Practice Location Address:

709 HOSPITAL LOOP STE 118
FAIRCHILD AFB, WA
99011-8705

Practice Phone: 509-465-0995
Practice Fax: 509-247-4140

1518950682 — CAMTU M THAI MD
Practice Location Address:

701 HOSPITAL LOOP
FAIRCHILD AFB, WA
99011-8704

Practice Phone: 509-247-5661
Practice Fax:

1528051521 — RHETT NORRIS
Practice Location Address:

701 HOSPITAL LOOP
FAIRCHILD AFB, WA
99011-8704

Practice Phone: 509-247-5882
Practice Fax:

1801889241 — MR. RAYMOND HENRY RESER JR. RPH
Practice Location Address:

701 HOSPITAL LOOP , ATTN: PHARMACY
FAIRCHILD AFB, WA
99011-8704

Practice Phone: 509-247-4370
Practice Fax:

1174516611 — DR. JOHN F CARGIOLI
Practice Location Address:

701 HOSPITAL LOOP
FAIRCHILD AFB, WA
99011-8704

Practice Phone: 509-247-3032
Practice Fax: 509-247-2021

Directions to “ LEAH W. BROCKWAY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.