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Brock Daniel Thornton
Student in an Organized Health Care Education/Training Program in Edwardsville, Illinois
NPI 1750062733

Brock Daniel Thornton is a Student in an Organized Health Care Education/Training Program based in Chatham, IL. Brock Daniel Thornton practices in Edwardsville, IL. The NPI Number for Brock Daniel Thornton is 1750062733 and holds a License No. (Illinois).

The current practice location address for Brock Daniel Thornton is Siue Nurse Anesthesia Program Alumni Hall, Edwardsville, IL and can be reached out via phone at 618-650-3283.

Location: Siue Nurse Anesthesia Program Alumni Hall, Edwardsville, IL, 62629-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750062733
Provider Name
Brock Daniel Thornton
Credential
Provider Entity Type
Individual
Gender
Male
Address
Siue Nurse Anesthesia Program Alumni Hall, Edwardsville, IL, 62629-1106
Phone Number
618-650-3283
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Siue Nurse Anesthesia Program Alumni Hall
City
Edwardsville
State
Illinois
Zip
62026-0001
Phone Number
618-650-3283
Fax Number
person
Provider Business Mailing Address Details
Address
Siue Nurse Anesthesia Program Alumni Hall
City
Edwardsville
State
Illinois
Zip
62026-0001
Phone Number
618-650-3283
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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