Doctor Name: | FELICIA BOCK |
NPI Number: | 1477840072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | SC006276 |
Business Practice Address: | 810 Wyoming Ave West Pittston, PA - 186432741 |
Business Phone Number: | 5706544371 |
Business Fax Number: | 5706540455 |
Mailing Address: | 810 Wyoming Ave, WEST PITTSTON |
State: | PA |
Postal Code: | 186432741 |
Phone Number: | 5706544371 |
Fax Number: | 5706540455 |
NPI Enumeration Date: | 07/01/2011 |
NPI Last Update Date: | 06/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC006276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |