Individual
DANA J BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 272-9644
Mailing address
3333 NW 63RD ST STE 106, OKLAHOMA CITY, OK 73116-3710
(405) 296-3270
(918) 720-0270
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17379
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090470A
—
OK
Enumeration date
03/24/2006
Last updated
08/08/2024
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