NPI 1003512245

Brock Lamont Vance, PAC

Practitioner Medical Physician Assistant West Wendover, NV

Practice location

Address: 925 Wells Avenue, West Wendover, NV 89883
Phone: (775) 664-2220
Fax: (775) 664-2965
Mailing address: PO Box 2734, West Wendover, NV 89883-2734

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2775 (NV)

Other Physician Assistant providers in Nevada →

Registry record

NPI: 1003512245
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2023
Record last updated: 2 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.