Individual provider · Type 1 NPI

Luke McKell Brockbank, MD

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1245178490 Active

Practice location

475 W 940 N
Provo, UT 84604-3301

Call (801) 357-7930 Map

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 1245178490

Luke McKell Brockbank, MD's National Provider Identifier is 1245178490, issued on Mar 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Mar 21, 2026.