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Individual

CHRISTOPHER D BOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1145 COLE ST, ENUMCLAW, WA 98022-2638
(360) 761-1285
(360) 761-1313
Mailing address
1145 COLE ST, ENUMCLAW, WA 98022-2638
(360) 761-1285
(360) 761-1313

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60103083
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO60103083
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0252800
STATE L&I
WA
01
0256792
STATE L&I
WA
05
2109216
WA
01
P00784722
RAILROAD
WA
Enumeration date
06/25/2009
Last updated
06/09/2023
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