ROBERT J BROCK MD PC
Psychiatric in Jackson, WY

License number
Wyoming 7758A
Category
Psychiatric
Type
Psychiatry
Owner
Name: ROBERT JAMES BROCK M.D.
Title: PRESIDENT
Phone: (307) 733-8333
Address
Address
480 S CACHE, Jackson, WY 83001
National Provider ID: 1689854523
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT J. BROCK MD, PC

PO Box 1492, Jackson, WY 83001

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Nov 15, 2007
Inactive since:
Mar 14, 2009
State ID:
2007-000546063
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
President:
Robert James Brock President, inactive

Psychiatric licenses in Wyoming


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