Individual
BROCK W. MILLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 N CENTRAL BLVD, COQUILLE, OR 97423-1274
(541) 396-7295
(541) 396-7295
Mailing address
209 N CENTRAL BLVD, COQUILLE, OR 97423-1274
(541) 396-7295
(541) 396-7295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD162167
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500656979
—
OR
Enumeration date
04/20/2010
Last updated
01/05/2026
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