Individual
DR. GREGORY P. MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 S POPLAR ST STE D, SEARCY, AR 72143-6000
(501) 279-7077
(501) 279-3970
Mailing address
PO BOX 17930, LITTLE ROCK, AR 72222-7930
(501) 663-0490
(501) 663-5948
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20865
MS
207RN0300X
Nephrology Physician
Primary
E8397
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203317001
—
AR
Enumeration date
09/20/2006
Last updated
04/16/2021
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