Individual
DR. DAVID TODD BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2656 SW 118TH TER, GAINESVILLE, FL 32608
(614) 226-6436
Mailing address
2656 SW 118TH TER, GAINESVILLE, FL 32608-0009
(614) 226-6436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-7161-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2472702
—
OH
Enumeration date
01/27/2006
Last updated
08/29/2018
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