Organization
DAVID BROCK DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID TODD BROCK D.O. (PHYSICIAN)
(614) 733-0816
Entity
Organization
Contact information
Practice address
99 W 2ND ST, LONDON, OH 43140-1072
(740) 852-2612
Mailing address
PO BOX 723, LONDON, OH 43140-0723
(740) 852-2612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-7161-B
OH
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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