Brian E Klock MD

NPI 1063496495 - Surgery - 208600000X

NPI Details
NPI 1063496495
Gender Male
Enumeration Date 11/30/2005
Last Updated 12/27/2011
Entity Type Individual
Active Over 12 years ago
Practice Location
SCRANTON PA, 18510-2369, US
Phone (570) 346-7797
Fax (570) 342-9802
Business Location
PO BOX 797
SCRANTON PA, 18501-0797, US
Phone (570) 346-7797
Fax (570) 342-9802
Taxonomy Code 208600000X
License State Pennsylvania
License Number MD058618L
Remove 1063496495 NPI Number

According to our database, Brian E Klock MD NPI is 1063496495, taxonomy code is 208600000X and license number is MD058618L, license state is located at Pennsylvania. Brian E Klock MD physically located at 1822 Mulberry St, Scranton PA, 18510-2369. NPI Number Brian E Klock MD has the Individual type.

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1063496495 NPI number is provided on an as is basis without warranty of any kind. 1063496495 is maintained by the National Plan & Provider Enumeration System. The contents of Brian E Klock MD are for informational purposes only.