NPI 1396264917

Brock a Paesl

Practitioner Peer Specialist South Sioux City, NE

Practice location

Address: 1201 Arbor Drive, South Sioux City, NE 68776-2652
Phone: (402) 494-3337
Fax: (402) 494-3356
Mailing address: PO Box 355, South Sioux City, NE 68776-0355

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1396264917
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2017
Record last updated: 8 Apr 2024

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.