Individual provider · Type 1 NPI
S. Allan Bock, MD
Specialist · Boulder, CO
NPI number
1760429153
Active
Practice location
3950 Broadway St
Boulder, CO 80304-1104
Fax (303) 443-5030
Mailing address
PO Box 970
Broomfield, CO 80038-0970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 18479 (CO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1760429153
S. Allan Bock, MD's National Provider Identifier is 1760429153, issued on Jun 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boulder, CO. The record was last updated on Aug 26, 2008.