Mitch Edmond Brock, MD

NPI #1295847440 in Clackamas, Oregon

Provider Information

NPI Number: 1295847440
Entity Type: Individual
Name: Mitch Edmond Brock, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Aug 31, 2006
Last Updated: Feb 4, 2022

Practice Location

Address: 9800 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-9750
Phone: (503) 653-6440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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