Michael E. Brock, D.o., P.s.c. | |
2920 Winchester Ave Suite 1 Ashland KY 41101-1962 | |
(606) 326-0640 | |
(606) 326-0650 |
Full Name | Michael E. Brock, D.o., P.s.c. |
---|---|
Speciality | Family Medicine |
Location | 2920 Winchester Ave, Ashland, Kentucky |
Authorized Official Name and Position | Michael Eugene Brock (OWNER) |
Authorized Official Contact | 6063260640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael E. Brock, D.o., P.s.c. 2920 Winchester Ave Suite 1 Ashland KY 41101-1962 Ph: (606) 326-0640 | Michael E. Brock, D.o., P.s.c. 2920 Winchester Ave Suite 1 Ashland KY 41101-1962 Ph: (606) 326-0640 |
NPI Number | 1770782674 |
---|---|
Provider Enumeration Date | 07/12/2007 |
Last Update Date | 04/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770782674 | NPI | - | NPPES |
64081540 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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