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Contact Information

IRVIN P BROCK III, MD
10833 N SKYLINE DR
FOUNTAIN HILLS, AZ85268-6182
 Phone: 210-792-4192
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for IRVIN P BROCK III · (Male)

NPI # 1023018678
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2005
Last updated 06/12/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # M1535
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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