Individual
RYAN NOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036151638
IL
207R00000X
Internal Medicine Physician
A158379
CA
207RG0100X
Gastroenterology Physician
Primary
A158379
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
08/24/2023
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