Individual
DR. HANS-GEORG OTTO BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF PREVENTIVE MEDICINE, JACKSON, MS 39216-4500
(601) 984-1900
(601) 984-1916
Mailing address
2500 N STATE ST, DEPARTMENT OF PREVENTIVE MEDICINE, JACKSON, MS 39216-4500
(601) 984-1900
(601) 984-1916
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
10089
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014153
—
MS
Enumeration date
06/04/2006
Last updated
02/27/2008
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