Individual
DR. BYRON MITCHELL SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 212-5245
Mailing address
1059 SW 2ND AVE, ONTARIO, OR 97914-2120
(541) 212-5245
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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