Individual
DR. BROCK ALLEN BORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1620 VICTORY BLVD, GLENDALE, CA 91201-2915
(818) 843-3333
(818) 396-1512
Mailing address
PO BOX 3691, BURBANK, CA 91508-3691
(818) 843-3333
(818) 396-1512
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC 13461
CA
Other
Enumeration date
10/11/2006
Last updated
11/09/2015
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