Individual
DR. BROCK ADAM MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7550 N 19TH AVE, PHOENIX, AZ 85021-7980
(602) 973-3100
(602) 973-0978
Mailing address
727 E BETHANY HOME RD, STE B112, PHOENIX, AZ 85014-2151
(602) 973-3100
(602) 973-0978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866098
—
AZ
Enumeration date
04/25/2006
Last updated
07/11/2019
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