Individual
DR. NICHOLAS MATTHEW THOMAS-BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6039 LEDGEVIEW DR, PENINSULA, OH 44264-9540
(330) 418-2603
Mailing address
6039 LEDGEVIEW DR, PENINSULA, OH 44264-9540
(330) 418-2603
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
34.015123
OH
2085R0202X
Diagnostic Radiology Physician
34.015123
OH
2085R0202X
Diagnostic Radiology Physician
C2562
KY
2085R0202X
Diagnostic Radiology Physician
DOC-037
GU
Other
Enumeration date
05/20/2015
Last updated
04/07/2026
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