Individual
BROCK STEVEN ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
11 W VIKING ST, 158 RIGBY HALL, REXBURG, ID 83440
(208) 496-3056
Mailing address
235 S 1ST E APT 7, REXBURG, ID 83440-2260
(208) 223-7855
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
070641634182
ID
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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