Brock Libby

NPI 1205192432 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205192432
Gender Male
Enumeration Date 04/02/2012
Last Updated 04/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1215 LEE ST
BOX 800386
CHARLOTTESVILLE VA, 22908-0816, US
Phone (434) 243-6781
Fax
Business Location
1215 LEE ST
BOX 800386
CHARLOTTESVILLE VA, 22908-0816, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Brock Libby NPI is 1205192432, taxonomy code is 390200000X Brock Libby physically located at 1215 Lee St, Charlottesville VA, 22908-0816. NPI Number Brock Libby has the Individual type.

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1205192432 NPI number is provided on an as is basis without warranty of any kind. 1205192432 is maintained by the National Plan & Provider Enumeration System. The contents of Brock Libby are for informational purposes only.