Individual
BRIAN JOHN BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2553
(918) 744-3482
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2553
(918) 744-3482
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-28663
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21665
OK
Other
Enumeration date
07/24/2006
Last updated
07/09/2007
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