Organization
EDWARD CHOCK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CHOCK MD (PRESIDENT)
(209) 847-2201
Entity
Organization
Contact information
Practice address
1390 W H ST, STE B, OAKDALE, CA 95361-3570
(209) 847-2201
(209) 847-0975
Mailing address
PO BOX 396, OAKDALE, CA 95361-0396
(209) 847-2201
(209) 847-0975
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G13634
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G37486
CA
Other
Enumeration date
09/08/2005
Last updated
04/28/2015
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