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Individual

DR. STEPHEN MOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5443
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD60546800
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2045736
WA
Enumeration date
06/01/2008
Last updated
10/20/2015
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