| Doctor Name: | DR. JOHN C BROCK |
| NPI Number: | 1154327393 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01069891A |
| Business Practice Address: | 901 St Mary's Dr Ste 300 Evansville, IN - 477140521 |
| Business Phone Number: | 8124732642 |
| Business Fax Number: | 8124693387 |
| Mailing Address: | Po Box 13059, BELFAST |
| State: | ME |
| Postal Code: | 049154021 |
| Phone Number: | 3175833022 |
| Fax Number: | 3175832199 |
| NPI Enumeration Date: | 06/22/2005 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 01069891A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |