Individual
PETER A BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11164 S NOBLE DR, OLATHE, KS 66061-7572
(913) 829-2440
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-21026
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153680D
—
KS
Enumeration date
11/18/2005
Last updated
12/31/2012
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