| NPI | 1104810001 |
|---|---|
| Professional Name | G BRADLEY KLOCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA 1998) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AZ 1890) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2012-05-23 |