Individual
DR. RONALD D. STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1162 WILLAMETTE ST, EUGENE, OR 97401-3568
(541) 349-7282
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD15888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026567
—
OR
Enumeration date
03/09/2006
Last updated
03/11/2010
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