Individual
BROCK PETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 S MCCLINTOCK DR, TEMPE, AZ 85282-7376
(480) 229-5309
Mailing address
660 S OAK CIR, CHANDLER, AZ 85226-4477
(480) 229-5309
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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