Brock, Clint

Brock, Clint is an individual health care provider with primary practice located at 1823 E Hackamore St , Mesa AZ 85203-3908. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brock, Clint can be contacted via phone (480) 620-0414.

Contact Information

Primary practice address
1823 E Hackamore St Mesa AZ 85203-3908
Phone: (480) 620-0414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 194103 Arizona

Profile Details

NPI number 1275070369
LBN Legal business name Brock, Clint
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2017
Last updated Jan 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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