person
Cameron Lyle Brock, MD
Student in an Organized Health Care Education/Training Program in Sacramento, California
NPI 1245813393

Cameron Lyle Brock is a Student in an Organized Health Care Education/Training Program based in Sacramento, CA. Cameron Lyle Brock practices in Sacramento, CA and has the professional credentials of MD. The NPI Number for Cameron Lyle Brock is 1245813393 and holds a License No. (California).

The current practice location address for Cameron Lyle Brock is 4860 Y Street, Sacramento, CA and can be reached out via phone at 916-703-2261.

Location: 4860 Y Street, Sacramento, CA, 95817
person
Provider Profile Details
NPI Number
1245813393
Provider Name
Cameron Lyle Brock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4860 Y Street, Sacramento, CA, 95817
Phone Number
916-703-2261
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BP10075317 01 TX BASIC POST GRADUATE TRAINING PERMIT (PIT) - TEXAS #
institution
Provider Business Practice Location Address Details
Address
4860 Y Street
City
State
Zip
95817
Phone Number
916-703-2261
Fax Number
person
Provider Business Mailing Address Details
Address
4860 Y Street
City
State
Zip
95817
Phone Number
916-703-2261
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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