Individual
BROCK K BAKEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 EILEEN DONDERO FOLEY AVE STE 110, PORTSMOUTH, NH 03801-4596
(603) 368-6500
Mailing address
100 EILEEN DONDERO FOLEY AVE STE 110, PORTSMOUTH, NH 03801-4596
(603) 368-6500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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