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Individual

DR. EMMALEIGH BROOKE BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7829 LA HWY 61, ST. FRANCISVILLE, LA 70775
(225) 635-3200
(225) 635-3201
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 635-3200
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204611
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1082538
LA
Enumeration date
06/12/2008
Last updated
12/28/2022
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