William Bradford Brock M.D.

NPI 1023195807 - Legal Medicine - 173000000X

NPI Details
NPI 1023195807
Gender Male
Enumeration Date 11/01/2006
Last Updated 12/16/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1589 SPARTA ST
SUITE 105
MC MINNVILLE TN, 37110-1390, US
Phone (931) 815-3636
Fax (931) 815-3808
Business Location
1589 SPARTA ST
SUITE 105
MC MINNVILLE TN, 37110-1390, US
Phone (931) 815-3636
Fax (931) 815-3808
Toxanomy
Taxonomy Code 173000000X
License State Tennessee
License Number MD0000020114
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According to our database, William Bradford Brock M.D. NPI is 1023195807, taxonomy code is 173000000X and license number is MD0000020114, license state is located at Tennessee. William Bradford Brock M.D. physically located at 1589 Sparta St, Mc Minnville TN, 37110-1390. NPI Number William Bradford Brock M.D. has the Individual type.

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1023195807 NPI number is provided on an as is basis without warranty of any kind. 1023195807 is maintained by the National Plan & Provider Enumeration System. The contents of William Bradford Brock M.D. are for informational purposes only.