| Howard R Brock M.d. | |
| 1436 Railroad St Dayton TN 37321-1234 | |
| (423) 570-7005 | |
| Not Available | 
| Full Name | Howard R Brock M.d. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1436 Railroad St, Dayton, Tennessee | 
| Authorized Official Name and Position | Howard R Brock (OWNER) | 
| Authorized Official Contact | 4235707005 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Howard R Brock M.d. 1436 Railroad St Dayton TN 37321-1234 Ph: (423) 570-7005 | Howard R Brock M.d. 1436 Railroad St Dayton TN 37321-1234 Ph: (423) 570-7005 | 
| NPI Number | 1871754127 | 
|---|---|
| Provider Enumeration Date | 06/19/2008 | 
| Last Update Date | 06/29/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871754127 | NPI | - | NPPES | 
| 702025457 | Other | TN | CARITEN | 
| P00190427 | Other | TN | RAILROAD MEDICARE | 
| 3357233 | Other | TN | CIGNA | 
| 4095858 | Other | TN | BLUE CROSS | 
| TN0101 | Other | TN | UNITED HEALTHCARE OF THE RIVER VALLEY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000036269 (Tennessee) | Primary | 
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