BENJAMIN BROCK

MOBILE, AL
NPI1083150940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  1196)
Enumeration Date2017-01-16
Last Update Date2017-01-16
Business Address
-- BENJAMIN BROCK PA
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607-3513
Phone number: 251-435-7289
Mailing Address
-- BENJAMIN BROCK PA
1725 SPRING HILL AVE
MOBILE, AL 36604-1402
Phone number: 251-435-1366