Whalio Doctors

NPI 1730380502

Larry Dale Brock, MD

Practitioner Public Health & General Preventive Medicine Physician Mobile, AL

Practice location

Address
5901 Airport Blvd Suite E, Mobile, AL 36608-3169
Phone
(251) 342-0505
Fax
(251) 342-0360
Mailing address
5809 Fairfax Rd S, Mobile, AL 36608-2938

Registered specialties (2)

Public Health & General Preventive Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 5347 (AL)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 5347 (AL)

Registry record

NPI
1730380502
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 May 2007
Record last updated
21 Nov 2008

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.