Individual
MR. BROCK ANDREW GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1642 HIGHWAY 9, OAGE, IA 50461-8150
(641) 512-5823
Mailing address
1642 HIGHWAY 9, OSAGE, IA 50461-8150
(641) 512-5823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D116671
IA
Other
Enumeration date
08/19/2013
Last updated
09/19/2020
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