Individual provider · NPI-1

Dr. Donald Thomas Brock, DO

Family Medicine · Anadarko, OK

NPI number1215977814
StatusActive
Last updated in NPPESSep 30, 2020

Details

NPI
1215977814
Entity type
Individual (NPI-1)
Name
Dr. Donald Thomas Brock
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2006
Certification date
Sep 30, 2020
Last updated
Sep 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine3638OKYes

Practice location

412 Se 11th St
Anadarko, OK 73005-4442

Phone 405-247-9500

Mailing address

412 Se 11th St
Anadarko, OK 73005

Phone 405-247-9500 · Fax 405-247-9505

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