Organization
GERALD N. BOCK, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD N. BOCK M.D. (OWNER)
(209) 956-4260
Entity
Organization
Contact information
Practice address
1617 SAINT MARKS PLZ STE C, STOCKTON, CA 95207-6423
(209) 956-4260
(209) 475-6002
Mailing address
1617 SAINT MARKS PLZ STE C, STOCKTON, CA 95207-6423
(209) 956-4260
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G24211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G242110
—
CA
Enumeration date
12/19/2006
Last updated
08/22/2020
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