Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 036121065 | IL |
Y | 2080P0210X | Pediatric Nephrologist | DR.0055854 | CO |
NPI | 1154578060 |
---|---|
Provider Name | Dr. Margret E Bock |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2008 |
Last Update Date | 22/11/2019 |