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Brock Roadhouse
NPI 1659792117 · on the registry since 2013
Practice
- Address
- 231 S 3rd St
Las Vegas, NV 89101 - Phone
- (702) 468-7218
- Organisation at this address
- Indian Springs Community Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-30
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 Nevada