Search › Utah › 363AS0400X
David Brock, PA-C
NPI 1205024122 · on the registry since 2007
Practice
- Address
- 3550 N University Ave
Suite 250
Provo, UT 84604 - Phone
- (801) 374-9625
- Fax
- (801) 374-9690
- Organisation at this address
- Utah Surgical Associates, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-10
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