Individual
CHANCE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12631 E 17TH AVE # MS 8200, AURORA, CO 80045-2527
(303) 724-9245
Mailing address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
07/21/2022
Last updated
06/13/2025
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