DEREK JASON BROCK

ALLIANCE, OH
NPI1588094882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.15415-NP)
Enumeration Date2013-11-22
Last Update Date2015-07-01
Business Address
Mr. DEREK JASON BROCK CNP
149 E SIMPSON ST
ALLIANCE, OH 44601-4219
Phone number: 330-823-3856
Mailing Address
Mr. DEREK JASON BROCK CNP
PO BOX 932100
CLEVELAND, OH 44193-0008
Phone number: 216-472-2730
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