Individual
MR. CHARLES LAWRENCE BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7720 CREEK CIR, ROANOKE, VA 24018-6721
(540) 772-1169
Mailing address
7720 CREEK CIR, ROANOKE, VA 24018-6721
(540) 772-1169
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024093099
VA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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