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1083150940
BENJAMIN BROCK
MOBILE, AL
NPI
1083150940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL 1196)
Enumeration Date
2017-01-16
Last Update Date
2017-01-16
Business Address
-- BENJAMIN BROCK PA
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607-3513
Phone number: 251-435-7289
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Mailing Address
-- BENJAMIN BROCK PA
1725 SPRING HILL AVE
MOBILE, AL 36604-1402
Phone number: 251-435-1366
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