Individual
BENJAMIN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-7289
Mailing address
1725 SPRING HILL AVE, MOBILE, AL 36604-1402
(251) 435-1366
(251) 435-1616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1196
AL
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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