Individual provider · Type 1 NPI

Brock Gleave Englestead, DO

Student in an Organized Health Care Education/Training Program · Grand Junction, CO

NPI number 1124878749 Active

Practice location

2698 Patterson Rd
Grand Junction, CO 81506-8818

Mailing address

2698 Patterson Rd Ste 100
Grand Junction, CO 81506-8211

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124878749

Brock Gleave Englestead, DO's National Provider Identifier is 1124878749, issued on Mar 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Junction, CO. The record was last updated on Mar 26, 2024.