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Contact Information

DAVID W BROCK, DO
1155 MILL ST
RENO, NV89502
 Phone: 775-982-7878
 Fax: 775-982-4196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAVID W BROCK · (Male)

NPI Number 1568589752
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/23/2007
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 1347
  • NV Medicaid 1568589752
  • Other 11726011 CAQH
Hospital affiliation(s)
  • RENOWN REGIONAL MEDICAL CENTER - (Acute Care)
    1155 MILL STREET
    RENO, NV 89502
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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