JARED L BROCK

COLUMBUS, IN
NPI1073551248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000575A)
Enumeration Date2006-06-02
Last Update Date2022-12-05
Business Address
Mr. JARED L BROCK PA
4001 W GOELLER BLVD STE A
COLUMBUS, IN 47201-8309
Phone number: 812-375-3330
Mailing Address
Mr. JARED L BROCK PA
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-5315
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