Brockbank, Roger D.
Brockbank, Roger D. is an individual health care provider with primary practice located at 830 N 2000 W , Pleasant Grove UT 84062-4047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brockbank, Roger D. can be contacted via phone (801) 756-3511.Contact Information
Primary practice address
830 N 2000 W
Pleasant Grove UT 84062-4047
Phone: (801) 756-3511
Fax: (801) 443-1164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4778712-1205 | Utah |
Profile Details
| NPI number | 1669463626 |
|---|---|
| LBN Legal business name | Brockbank, Roger D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | May 1st, 2013 - about 12 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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