DR. ROGER BROCKBANK, M.D.
Family Medicine
Active
Individual
NPI: 1669463626
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 4778712-1205 (UT) |
Frequently Asked Questions
NPI 1669463626 is the National Provider Identifier for DR. ROGER BROCKBANK, M.D., a Family Medicine provider located in Pleasant Grove, UT. This NPI was enumerated on October 31, 2005.
DR. ROGER BROCKBANK, M.D. practices at 830 N 2000 W, Pleasant Grove, UT 84062.
Quick Facts
- NPI
- 1669463626
- Type
- Individual
- Enumerated
- Oct 31, 2005
- Last Updated
- May 1, 2013
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