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Organization
STEPHEN E. GOCKE M.D. INC.
Active
Organization
STEPHEN E. GOCKE M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EDMUND GOCKE M.D. (PRESIDENT)
(760) 352-5067
Entity
Organization
Contact information
Practice address
1503 N IMPERIAL AVE, SUITE 203, EL CENTRO, CA 92243-6301
(760) 352-5067
(760) 352-9999
Mailing address
PO BOX 417, EL CENTRO, CA 92244-0417
(760) 352-5067
(760) 352-9999
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G48685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G486852
—
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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