Individual
DR. PETER G. STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-1551
(415) 353-8974
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
G68680
CA
208600000X
Surgery Physician
Primary
G68680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G6868000
—
CA
Enumeration date
04/14/2006
Last updated
07/22/2008
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