Broska, Pamela
Broska, Pamela is an individual health care provider with primary practice located at 72785 Frank Sinatra Dr Suite 101, Rancho Mirage CA 92270-3205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Broska, Pamela can be contacted via phone (760) 969-5900.Contact Information
Primary practice address
72785 Frank Sinatra Dr Suite 101
Rancho Mirage CA 92270-3205
Phone: (760) 969-5900
Fax: (760) 969-5900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G61351 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G61351 | California |
Profile Details
| NPI number | 1770535304 |
|---|---|
| LBN Legal business name | Broska, Pamela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 13th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770535304 | NPPES |
| California | Other | 00G613512 | INDIVIDUAL PTAN |
| California | Other | 070013862 | INDIVIDUAL PTAN |
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