NPI 1205192432
Brock Donald Libby, MD
Practice location
- Address
- 75 John Roberts Rd Bldg B, South Portland, ME 04106-6967
- Phone
- (207) 775-4151
- Mailing address
- 3401 Civic Center Blvd Division of Adolescent Medicine, Philadelphia, PA 19104-4319
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1205192432
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Apr 2012
- Record last updated
- 25 Jul 2019
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.