Individual
CHARLES N MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 744-9430
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00029871
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0967
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8150526
—
WA
Enumeration date
10/27/2006
Last updated
12/02/2010
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