Dr Jack A Brock, MD | |
4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 | |
(505) 332-6900 | |
(505) 332-6921 |
Full Name | Dr Jack A Brock |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 4411 The 25 Way Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851395610 | NPI | - | NPPES |
L0634 | Medicaid | NM | |
52713 | Medicaid | NM | |
22467 | Medicaid | NM | |
45138 | Medicaid | NM | |
2258272 | Other | NM | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 77-139 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jack A Brock, MD 4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 Ph: (505) 332-6900 | Dr Jack A Brock, MD 4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888 Ph: (505) 332-6900 |
Mark Ehrhart, MD Radiology Medicare: Medicare Enrolled Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Shaya Ansari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 | |
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 |