| Doctor Name: | DR. SYLVIA EUNICE BROCK |
| NPI Number: | 1649589904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16251 |
| Business Practice Address: | 3302 Mountainview Rd Chewelah, WA - 991099642 |
| Business Phone Number: | 5096750758 |
| Business Fax Number: | |
| Mailing Address: | 3302 Mountainview Rd, CHEWELAH |
| State: | WA |
| Postal Code: | 991099642 |
| Phone Number: | 5096750758 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 02/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |