Shannon Bock is a Physician Assistant in Lakewood, Colorado. Shannon Bock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon Bock is 1083662225. The last update date is 2020-05-18.
Shannon Bock's current location address is 12596 W Bayaud Ave, Lakewood, Colorado. You can contact this provider via phone number 7207131885. The mailing address for Shannon Bock is 12596 W Bayaud Ave, Lakewood, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Bock |
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Address | 12596 W Bayaud Ave, Lakewood, Colorado |
Phone Number | 7207131885 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1083662225 |
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Provider Enumeration Date | 2006-05-04 |
Last Updated Date | 2020-05-18 |
Provider Mailing Address Detail
Address | 12596 W Bayaud Ave |
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City | Lakewood |
State | Colorado (CO) |
Post Code | 802282018 |
Phone Number | 7207131885 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1528 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Shannon Bock by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Bock has been assigned the NPI (National Provider Identifier) 1083662225. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Shannon Bock located?
The Shannon Bock is located at 12596 W Bayaud Ave, Lakewood, CO 802282018.
What is Shannon Bock's area of expertise and its corresponding taxonomy classification?
The Shannon Bock's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shannon Bock receive its 1083662225 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Bock was assigned its 1083662225 by the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date were the details related to Shannon Bock most recently updated or revised?
The information pertaining to Shannon Bock, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-18.