Individual
DR. S. ALLAN BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 BROADWAY ST, BOULDER, CO 80304-1104
(303) 444-5991
(303) 443-5030
Mailing address
PO BOX 970, BROOMFIELD, CO 80038-0970
(303) 280-2810
(303) 280-2876
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18479
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184795
—
CO
Enumeration date
06/02/2006
Last updated
08/26/2008
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