Individual
GERALD W. BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8573 CORDES CIRCLE, GERMANTOWN, TN 38139
(901) 754-6733
(901) 754-7808
Mailing address
8573 CORDES CIRCLE, GERMANTOWN, TN 38139
(901) 754-6733
(901) 754-7808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024134
TN LICENSE NUMBER
TN
Enumeration date
05/30/2007
Last updated
03/07/2023
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