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Individual
CASON TERRYL BOCK
Active
Individual
CASON TERRYL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1081
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900419
UNITED HEALTH CARE
—
01
—
238811
MIDLANDS CHOICE
—
01
—
37316
BLUE CROSS BLUE SHIELD
—
01
—
970028756
RR MEDICARE
—
Enumeration date
07/06/2006
Last updated
01/06/2022
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