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Brock Chiropractic INC PC

Chiropractor in Kingman, AZ. Organization (NPI-2).

NPI number1164582664
StatusActive
Last updated in NPPESMay 20, 2008

Details

NPI
1164582664
Entity type
Organization (NPI-2)
Legal business name
Brock Chiropractic INC PC
Organization subpart
No
Enumeration date
Dec 12, 2006
Last updated
May 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor7584AZYes

Practice location

410 Riata Valley Rd
Kingman, AZ 86409-2976

Phone 928-757-9361

Mailing address

410 Riata Valley Rd
Kingman, AZ 86409-2976

Phone 928-757-9361

Authorized official

Jeri Lynn Brock
President
9287579361

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