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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DISA T. BROCK

Active Sole Proprietor

DISA T. BROCK is a Psychiatry healthcare provider located in PROVO, Utah. NPI 1154961746 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · PROVO, UT

Registration Details

NPI Number
1154961746
Provider Type
Individual
Gender
Female
NPI Issued
Jan 10, 2020 (6.5541425558876 yrs)
Last Updated
Jan 10, 2020
License
9093412-4408 (UT)
Sole Proprietor
Yes

Practice Information

Address
2520 N UNIVERSITY AVE # 250A
PROVO, UT, 846043804
Browse UT providers · Browse ZIP 84604
Phone
8013378277
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in PROVO, UT

Name Credential NPI
DR. C. LEROY ANDERSON M.D. 1356328272
DR. JOHN B BENCH M.D. 1114905965
KENT DEE ROUNDY M.D. 1619932175
JARLE ZENOA MESERVY M.D. 1912952284
RANDALL ROLEN MD 1851346886
DR. VILMA HELMER MD 1285679795
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.