Individual
DR. BROCK CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6283 CLARK RD, STE 15, PARADISE, CA 95969-4100
(530) 876-0410
(530) 876-0423
Mailing address
6283 CLARK RD, STE 15, PARADISE, CA 95969-4100
(530) 876-0410
(530) 876-0423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A70205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A702050
—
CA
01
—
P00052511
MEDICARE RAILROAD #
—
Enumeration date
06/01/2005
Last updated
04/01/2014
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