Irvin Pete Brock III M.D.

NPI 1023018678 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023018678
Gender Male
Enumeration Date 07/26/2005
Last Updated 06/12/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
10833 N SKYLINE DR
FOUNTAIN HILLS AZ, 85268-6182, US
Phone (210) 792-4192
Fax
Business Location
10833 N SKYLINE DR
FOUNTAIN HILLS AZ, 85268-6182, US
Phone (210) 792-4192
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Texas
License Number M1535
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According to our database, Dr. Irvin Pete Brock III M.D. NPI is 1023018678, taxonomy code is 2084P0800X and license number is M1535, license state is located at Texas. Irvin Pete Brock III M.D. physically located at 10833 N Skyline Dr, Fountain Hills AZ, 85268-6182. NPI Number Irvin Pete Brock III M.D. has the Individual type.

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1023018678 NPI number is provided on an as is basis without warranty of any kind. 1023018678 is maintained by the National Plan & Provider Enumeration System. The contents of Irvin Pete Brock III M.D. are for informational purposes only.