# DEVIN MICHAEL MOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447825534
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | NUR-APRN-LIC-240601 | MT | — |
| 363L00000X | Nurse Practitioner | NUR-APRN-LIC-240601 | MT | Yes |

## Other

- **Enumeration date:** 05/21/2021
- **Last updated:** 09/26/2024