Peter A Bock, M.D.
Family Medicine in Olathe, KS. Individual provider (NPI-1).
NPI number1629050166
StatusActive
Last updated in NPPESDec 31, 2012
Details
- NPI
- 1629050166
- Entity type
- Individual (NPI-1)
- Name
- Peter A Bock
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Last updated
- Dec 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 04-21026 | KS | Yes |
Practice location
11164 S Noble DrOlathe, KS 66061-7572
Phone 913-829-2440 · Fax 913-338-1311
Mailing address
Po Box 741331Atlanta, GA 30374-1331
Phone 913-469-0503 · Fax 913-469-5267
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