| Michael E. Brock, D.o., P.s.c. | |
|
2920 Winchester Ave Suite 1 Ashland KY 41101-1962 | |
| (606) 326-0640 | |
| (606) 326-0650 |
| Full Name | Michael E. Brock, D.o., P.s.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2920 Winchester Ave, Ashland, Kentucky |
| Authorized Official Name and Position | Michael Eugene Brock (OWNER) |
| Authorized Official Contact | 6063260640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E. Brock, D.o., P.s.c. 2920 Winchester Ave Suite 1 Ashland KY 41101-1962 Ph: (606) 326-0640 | Michael E. Brock, D.o., P.s.c. 2920 Winchester Ave Suite 1 Ashland KY 41101-1962 Ph: (606) 326-0640 |
| NPI Number | 1770782674 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770782674 | NPI | - | NPPES |
| 64081540 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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George Carl Borst Iii Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 St.christopher Drive, Ashland, KY 41101 Phone: 606-324-1101 Fax: 606-324-0404 | |
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