Individual
GERALD N BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1617 ST MARKS PLAZA, C, STOCKTON, CA 95207
(209) 956-4260
(209) 475-6002
Mailing address
1617 ST MARKS PLAZA, C, STOCKTON, CA 95207
(209) 956-4260
(209) 475-6002
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G24211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G242110
—
CA
Enumeration date
09/16/2006
Last updated
07/08/2007
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