Search › New Mexico › 363LP2300X
Shane Brock, CNP
NPI 1487806808 · on the registry since 2008
Practice
- Address
- 1635 S Don Roser Dr
Las Cruces Va Cboc
Las Cruces, NM 88011 - Phone
- (575) 522-1241
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-07
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 New Mexico