LARRY DALE BROCK

MOBILE, AL
NPI1730380502
Professional NameLARRY DALE BROCK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: AL  5347)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: AL  5347)
Enumeration Date2007-05-30
Last Update Date2008-11-21
Business Address
Dr. LARRY DALE BROCK M.D
5901 AIRPORT BLVD SUITE E
MOBILE, AL 36608-3169
Phone number: 251-342-0505
Mailing Address
Dr. LARRY DALE BROCK M.D
5809 FAIRFAX RD S
MOBILE, AL 36608-2938
Phone number: 251-343-1598