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1851395610
JACK A BROCK
ALBUQUERQUE, NM
NPI
1851395610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NM 77-139)
Enumeration Date
2005-06-09
Last Update Date
2007-10-18
Business Address
Dr. JACK A BROCK M.D.
4411 THE 25 WAY NE STE 150
ALBUQUERQUE, NM 87109-5888
Phone number: 505-332-6900
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Mailing Address
Dr. JACK A BROCK M.D.
4411 THE 25 WAY NE STE 150
ALBUQUERQUE, NM 87109-5888
Phone number: 505-332-6900
Copy
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