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Search › Illinois › 1223S0112X

Broc Hammon, D.M.D

NPI 1154720167 · on the registry since 2014

Practice

Address
310 W Losey St
Scott Afb, IL 62225
Phone
(618) 256-9355
Fax
(618) 256-7018
Organisation at this address
Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
122300000X
Licence states on file
IL, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois