Individual provider · Type 1 NPI

Brock Lamont Vance, PA-C

Medical Physician Assistant · West Wendover, NV

NPI number 1003512245 Active

Practice location

925 Wells Avenue
West Wendover, NV 89883

Fax (775) 664-2965

Mailing address

PO Box 2734
West Wendover, NV 89883-2734

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2775 (NV)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1003512245

Brock Lamont Vance, PA-C's National Provider Identifier is 1003512245, issued on Jan 31, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Wendover, NV. The record was last updated on Jan 2, 2025.