Individual
DR. BROOKS F BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35927
CO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301029318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101709949
—
MI
05
—
101987786
—
MI
05
—
80885039
—
CO
01
—
BB029318
BC/BS OF MI
MI
Enumeration date
03/24/2006
Last updated
02/20/2017
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