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Individual

DR. LEE J BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-5723
Mailing address
633D MEDICAL GROUP, 77 NEALY AVE, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 225-7630

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A90803
CA

Other

Enumeration date
09/25/2006
Last updated
09/28/2021
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