Organization
BROCK CHIROPRACTIC INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERI LYNN BROCK D.C. (PRESIDENT)
(928) 757-9361
Entity
Organization
Contact information
Practice address
410 RIATA VALLEY RD, KINGMAN, AZ 86409-2976
(928) 757-9361
Mailing address
410 RIATA VALLEY RD, KINGMAN, AZ 86409-2976
(928) 757-9361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7584
AZ
Other
Enumeration date
12/12/2006
Last updated
05/20/2008
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