Mr David Wesley Brock, PA-C - Physician Assistant in Provo, UT

Mr David Wesley Brock, PA-C is a Physician Assistant - Surgical based in Provo, Utah. Mr David Wesley Brock is licensed to practice in Utah (license number 6725565-1206) and his current practice location is 3550 N University Ave, Suite 250, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 374-9625.

NPI number for Mr David Wesley Brock is 1205024122 and his current mailing address is 100 N Mario Capecchi Dr, Suite 250, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205024122.

Contact Information

Mr David Wesley Brock, PA-C
3550 N University Ave, Suite 250,
Provo, UT 84604-6683
(801) 374-9625
(801) 374-9690

Map and Direction




Provider's Profile

Full NameMr David Wesley Brock
GenderMale
SpecialityPhysician Assistant - Surgical
Location3550 N University Ave, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205024122
  • Provider Enumeration Date: 10/04/2007
  • Last Update Date: 02/10/2016

Medical Identifiers

Medical identifiers for Mr David Wesley Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205024122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 6725565-1206 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Wesley Brock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr David Wesley Brock, PA-C
100 N Mario Capecchi Dr, Suite 250,
Salt Lake City, UT 84113-1103

Ph: (801) 662-5582
Mr David Wesley Brock, PA-C
3550 N University Ave, Suite 250,
Provo, UT 84604-6683

Ph: (801) 374-9625

Reviews and Comments


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