Individual
CHRISTOPHER RYAN SPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4543
(561) 694-9493
(561) 694-9064
Mailing address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4543
(561) 694-9493
(561) 694-9064
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME118605
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME118605
FL
207NS0135X
Procedural Dermatology Physician
ME118605
FL
Other
Enumeration date
08/10/2009
Last updated
01/05/2021
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