Robert J Brock MD PA
NPI #1972643997 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1972643997
- Entity Type
- Organization
- Organization Name
- Robert J Brock MD PA
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Dec 3, 2007
Practice Location
- Address
- 2420 EAST 25TH CIRCLE
- Address 2
- SUITE B
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7549
- Phone
- (208) 525-3220
Authorized Official
- Name
- ROBERT J BROCK, M.D.
- Title
- PRESIDENT
- Phone
- (208) 525-3220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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