Robert J Brock Md Pc | |
480 S Cache Jackson WY 83001-0941 | |
(307) 733-8333 | |
(307) 733-7929 |
Full Name | Robert J Brock Md Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 480 S Cache, Jackson, Wyoming |
Authorized Official Name and Position | Robert James Brock (PRESIDENT) |
Authorized Official Contact | 3077338333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert J Brock Md Pc Po Box 941 480 S Cache Jackson WY 83001-0941 Ph: (307) 733-8333 | Robert J Brock Md Pc 480 S Cache Jackson WY 83001-0941 Ph: (307) 733-8333 |
NPI Number | 1689854523 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689854523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 7758A (Wyoming) | Primary |
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