Individual
REBECCA J BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4999 E KENTUCKY AVE, DENVER, CO 80246-3901
(303) 691-0777
(303) 691-0041
Mailing address
4999 E KENTUCKY AVE, DENVER, CO 80246-3901
(303) 691-0777
(303) 691-0041
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32695
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36321061
—
CO
Enumeration date
04/13/2006
Last updated
05/21/2008
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