Doctor Name: | DR. BROOKS F BOCK |
NPI Number: | 1174583900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301029318 |
Business Practice Address: | 322 Beard Creek Rd Suite 200 Edwards, CO - 816326426 |
Business Phone Number: | 9709266340 |
Business Fax Number: | 9709266348 |
Mailing Address: | Po Box 1749, EDWARDS |
State: | CO |
Postal Code: | 816321749 |
Phone Number: | 9709266340 |
Fax Number: | 9709266348 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 4301029318 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |