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Disa Brock
NPI 1154961746 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2520 N University Ave # 250a
Provo, UT 84604 - Phone
- (801) 337-8277
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-10
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 Utah