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Individual

ALAN RICHARD BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6000 COOPER RD, WESTERVILLE, OH 43081-8984
(614) 274-1455
(614) 274-1433
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
(614) 274-1433

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.140839
OH
207Q00000X
Family Medicine Physician
50380
TN
207Q00000X
Family Medicine Physician
LL32889
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0426098
OH
05
1532371
TN
Enumeration date
06/21/2010
Last updated
11/20/2023
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