Organization
GERALD N. BOCK, M.D., INC.
Active
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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