Individual
JOHN BROCK AMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2911 SOUTH 8TH AVENUE, YUMA, AZ 85364-8000
(928) 783-3050
(928) 783-7783
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
(928) 783-7783
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32952
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095399401
—
AZ
05
—
953994
—
AZ
01
—
ZWMBKJ
MEDICARE GROUP #
—
Enumeration date
07/21/2006
Last updated
11/15/2024
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