Jason L Brock, IDC
Jason L Brock, IDC is an Independent Duty Corpsman in San Diego, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
2534 Trident WaySan Diego, CA 92155-5493
Phone: (619) 437-2544
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X · Licence 170101002X (CA) |
|---|
Record details
| NPI number | 1811122393 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | May 27, 2009 |
| Last updated in NPPES | May 27, 2009 |
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