Organization
ROBERT J BROCK MD PC
Active
Organization
ROBERT J BROCK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES BROCK M.D. (PRESIDENT)
(307) 733-8333
Entity
Organization
Contact information
Practice address
480 S CACHE, JACKSON, WY 83001-0941
(307) 733-8333
(307) 733-7929
Mailing address
PO BOX 941, 480 S CACHE, JACKSON, WY 83001-0941
(307) 733-8333
(307) 733-7929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7758A
WY
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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