Dr GREGORY KEITH BROCK is a male medical professional, specializing in Family Medicine. He graduated in 1995 from Chicago College Of Osteopathic Medicine.
WABASH VALLEY HEALTH CENTER, INC
1436 LOCUST ST
TERRE HAUTE
IN
478071648
Tel: 8122327447
| Npi | 1952374779 |
| Pac Id | 5991849291 |
| Professional Enrollment Id | I20100225000041 |
| Last Name | BROCK |
| First Name | GREGORY |
| Middle Name | KEITH |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WABASH VALLEY HEALTH CENTER, INC |
| Group Practice Pac Id | 4880848530 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 1436 LOCUST ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 478071648 |
| Phone Number | 8122327447 |
| Hospital Affiliation Ccn 1 | 151326 |
| Hospital Affiliation Lbn 1 | UNION HOSPITAL CLINTON |
| Hospital Affiliation Ccn 2 | 150023 |
| Hospital Affiliation Lbn 2 | UNION HOSPITAL INC |
| Hospital Affiliation Ccn 3 | 150046 |
| Hospital Affiliation Lbn 3 | TERRE HAUTE REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 4 | 151309 |
| Hospital Affiliation Lbn 4 | ST. VINCENT CLAY HOSPITAL INC |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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