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Organization
COLLIN P. QUOCK, M.D., A MEDICAL CORPORATION
Active
Organization
COLLIN P. QUOCK, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLIN POY QUOCK M.D. (PRESIDENT)
(415) 398-5100
Entity
Organization
Contact information
Practice address
929 CLAY ST, SUITE 201, SAN FRANCISCO, CA 94108-1556
(415) 398-5100
(415) 398-5102
Mailing address
929 CLAY ST, SUITE 201, SAN FRANCISCO, CA 94108-1556
(415) 398-5100
(415) 398-5102
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A21619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A216190
—
CA
01
—
A21619
STATE LICENSE NUMBER
CA
Enumeration date
05/15/2007
Last updated
12/17/2008
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