Individual
DR. VIRGIL W. BROCKBANK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2480 RED CLIFFS DR, ST GEORGE, UT 84790-5457
(435) 673-6446
(435) 652-8020
Mailing address
115 STONE MOUNTAIN DR, ST GEORGE, UT 84770-5078
(435) 634-0341
(435) 652-8020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
109272-2501
UT
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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