Individual
BONNIE VIRGINIA BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G35572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G355720
—
CA
Enumeration date
10/11/2007
Last updated
01/03/2011
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