Individual
BROCK AARON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-1816
Mailing address
300 PASTEUR DR # L235, STANFORD, CA 94305-2200
(650) 723-5252
(650) 725-6902
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
122382
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
54794
KY
Other
Enumeration date
01/13/2015
Last updated
02/12/2021
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