Individual
CHRISTIE MICHELLE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3460 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2361
(816) 246-0800
(816) 246-6613
Mailing address
3460 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2361
(816) 246-0800
(816) 246-6613
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2012017084
MO
Other
Enumeration date
02/03/2009
Last updated
07/02/2013
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