person
Ms. Anita Brock, PAC
Medical Physician Assistant in Accokeek, Maryland
NPI 1902134828

Anita Brock is a Medical Physician Assistant based in Accokeek, MD and is specialized in Medical. Anita Brock practices in Accokeek, MD and has the professional credentials of PAC. The NPI Number for Anita Brock is 1902134828 and holds a License No. PA030636 (Maryland).

The current practice location address for Anita Brock is 207 Farmington Road West, Accokeek, MD and can be reached out via phone at 571-269-1509.

Location: 207 Farmington Road West, Accokeek, MD, 20607
person
Provider Profile Details
NPI Number
1902134828
Provider Name
Anita Brock
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
207 Farmington Road West, Accokeek, MD, 20607
Phone Number
571-269-1509
Fax Number
Provider Enumeration Date
12/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA030636 01 DC PAC LICENSE
institution
Provider Business Practice Location Address Details
Address
207 Farmington Road West
City
State
Zip
20607
Phone Number
571-269-1509
Fax Number
person
Provider Business Mailing Address Details
Address
207 Farmington Road West
City
State
Zip
20607
Phone Number
571-269-1509
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA030636 (District of Columbia)
Definition
Definition to come...
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