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Individual

RICHARD W BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9500837
NC
2086S0129X
Vascular Surgery Physician
Primary
9500837
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16361
BCBS NC
NC
05
1821036633
NC
Enumeration date
06/03/2006
Last updated
12/06/2021
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