Ian Leonard Brock in Watertown - Internist

Ian Leonard Brock - NPI 1811032972

Ian Leonard Brock is a Internist in Watertown, Massachusetts. Ian Leonard Brock practices all healthcare services and medical treatments related to Internist. The NPI Number for Ian Leonard Brock is 1811032972. The last update date is 2008-08-27.

Ian Leonard Brock's current location address is 182 Main St, Watertown, Massachusetts. You can contact this provider via phone number 6179248558. The mailing address for Ian Leonard Brock is 182 Main St, Watertown, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Ian Leonard Brock
Address 182 Main St, Watertown, Massachusetts
Phone Number 6179248558
Fax Number
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1811032972
Provider Enumeration Date 2007-02-20
Last Updated Date 2008-08-27

Provider Mailing Address Detail

Address 182 Main St
City Watertown
State Massachusetts (MA)
Post Code 24724409
Phone Number 6179248558
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internist
Taxonomy 111Ni0900X
Licence No 3018
Definition:
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders.

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FAQs about Ian Leonard Brock

What is the unique 10-digit identifier code assigned to Ian Leonard Brock by the Centers for Medicare & Medicaid Services?

The Ian Leonard Brock has been issued the NPI (National Provider Identifier) 1811032972 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Ian Leonard Brock's facilities are geographically located?

The facilities of Ian Leonard Brock are physically situated at the following location: 182 Main St, Watertown, MA, 24724409.

What is the Ian Leonard Brock's specialty and taxonomy code?

The Ian Leonard Brock's specialty is Internist, and the corresponding taxonomy code is 111Ni0900X.

When did Ian Leonard Brock receive its 1811032972 assignment?

The Ian Leonard Brock was assigned its 1811032972 on 2007-02-20, which is the date when this unique identifier was issued to the organization.

When was the Ian Leonard Brock's information last updated?

The Ian Leonard Brock's information was last updated on 2008-08-27.

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