Individual
MR. JOHN DOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCCCA-A
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3600
(417) 875-3625
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
113808
MO
231H00000X
Audiologist
Primary
113808
MO
237700000X
Hearing Instrument Specialist
001241
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457436735
—
MO
Enumeration date
10/26/2006
Last updated
09/30/2025
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