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Individual
DR. MARCANDRE BOCK
Active
Individual
DR. MARCANDRE BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13409
CA
111N00000X
Chiropractor
DC11553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0115530
BLUE SHIELD CHIROPRACTOR
CA
01
—
OPL134090
BLUE SHIELD PSYCHOLOGIST
CA
Enumeration date
07/26/2006
Last updated
12/26/2024
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