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Individual
MR. JAMES ALBERT BROCK III
Active
Individual
MR. JAMES ALBERT BROCK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
123925
AL
207L00000X
Anesthesiology Physician
AC004133
MD
Other
Enumeration date
01/01/2019
Last updated
02/28/2022
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