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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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