MR. Jared L Brock, PA

NPI #1073551248 in Columbus, Indiana

Provider Information

NPI Number: 1073551248
Entity Type: Individual
Name: MR. Jared L Brock, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 2, 2006
Last Updated: Sep 9, 2024

Practice Location

Address: 4001 W GOELLER BLVD STE A
City: Columbus
State: Indiana
ZIP Code: 47201-8309
Phone: (812) 375-3330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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