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NPI Code Detail

MEDICARE: DR. ROBERT L LOCK, II D.O.

MEDICARE:  DR. ROBERT L LOCK, II  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician2523AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043287253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT L LOCK, II D.O.
Provider Business Mailing Address
First Line : PO BOX 27340
Second Line :
City : PHOENIX
State : AZ
Zip : 85061-7340
Country : US
Telephone Number : 602-943-9200
Fax Number : 602-216-3000
Provider Business Practice Location Address
First Line : 2000 HIGHWAY 95
Second Line : SUITE 200
City : BULLHEAD CITY
State : AZ
Zip : 86442-6050
Country : US
Telephone Number : 928-758-1175
Fax Number : 928-758-5191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 09/11/2014

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Directions to “ DR. ROBERT L LOCK, II D.O.” Practice Location

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