Individual
DR. JACK D SCHOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
239 COLONNADE BLVD, STATE COLLEGE, PA 16803-2668
(582) 220-2218
(582) 220-2219
Mailing address
PO BOX 687, ALTOONA, PA 16603-0687
(582) 220-2218
(582) 220-2219
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD020848E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008766200004
—
PA
Enumeration date
02/07/2006
Last updated
10/30/2024
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