Rondal Keith Brock, P.A.C.

NPI #1811075088 in Tazewell, Tennessee

Provider Information

NPI Number
1811075088
Entity Type
Individual
Name
Rondal Keith Brock, P.A.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.C.
Enumeration Date
Nov 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
TAZEWELL MEDICAL CLINIC 1442 NORTH BROAD STREET
Address 2
SUITE 7
ZIP Code
37879
Phone
(423) 626-6145

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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