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1669463626
ROGER D. BROCKBANK
PLEASANT GROVE, UT
NPI
1669463626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 4778712-1205)
Enumeration Date
2005-10-31
Last Update Date
2013-05-01
Business Address
Dr. ROGER D. BROCKBANK M.D.
830 N 2000 W
PLEASANT GROVE, UT 84062-4047
Phone number: 801-756-3511
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Mailing Address
Dr. ROGER D. BROCKBANK M.D.
275 W 200 N
LINDON, UT 84042-5009
Phone number: 801-796-1333
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