Brock, Larry Dale

Brock, Larry Dale is an sole proprietor health care provider with primary practice located at 5901 Airport Blvd Suite E, Mobile AL 36608-3169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Brock, Larry Dale can be contacted via phone (251) 342-0505.

Contact Information

Primary practice address
5901 Airport Blvd Suite E Mobile AL 36608-3169
Phone: (251) 342-0505
Fax: (251) 342-0360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 5347 Alabama
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5347 Alabama

Profile Details

NPI number 1730380502
LBN Legal business name Brock, Larry Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Nov 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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