Individual
DR. IAN LEONARD BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
182 MAIN ST, WATERTOWN, MA 02472-4409
(617) 924-8558
Mailing address
182 MAIN ST, WATERTOWN, MA 02472-4409
(617) 924-8558
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
3018
MA
Other
Enumeration date
02/20/2007
Last updated
08/27/2008
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