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Individual
DR. BROCK STEPHEN CLARK
Active
Individual
DR. BROCK STEPHEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-01455
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
09/28/2022
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