Edson Brock M.D.

NPI 1063451631 - Emergency Medicine - 207P00000X

NPI Details
NPI 1063451631
Gender Male
Enumeration Date 06/06/2006
Last Updated 02/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
13781 JORDAN MEADOWS LN
NOKESVILLE VA, 20181-2944, US
Phone (828) 506-9113
Fax
Business Location
13781 JORDAN MEADOWS LN
NOKESVILLE VA, 20181-2944, US
Phone (828) 506-9113
Fax
Toxanomy
Taxonomy Code 207P00000X
License State North Carolina
License Number 99-00173
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According to our database, Dr. Edson Brock M.D. NPI is 1063451631, taxonomy code is 207P00000X and license number is 99-00173, license state is located at North Carolina. Edson Brock M.D. physically located at 13781 Jordan Meadows Ln, Nokesville VA, 20181-2944. NPI Number Edson Brock M.D. has the Individual type.

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1063451631 NPI number is provided on an as is basis without warranty of any kind. 1063451631 is maintained by the National Plan & Provider Enumeration System. The contents of Edson Brock M.D. are for informational purposes only.