Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IRVIN PETE BROCK III, M.D.
Active Sole ProprietorDR. IRVIN PETE BROCK III, M.D. is a Geriatric Psychiatry healthcare provider located in FOUNTAIN HILLS, Arizona. NPI 1023018678 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · FOUNTAIN HILLS, AZ
Registration Details
- NPI Number
- 1023018678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (21.061718701068 yrs)
- Last Updated
- Jun 12, 2016
- Licenses
-
M1535 (TX)M1535 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10833 N SKYLINE DRFOUNTAIN HILLS, AZ, 852686182Browse AZ providers · Browse ZIP 85268
- Phone
- 2107924192
- Primary Specialty
-
Geriatric Psychiatry
2084P0805X
- Additional Specialty
- Geriatric Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.