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NPI Code Detail

MEDICARE: NICOLA J BOCEK MD

MEDICARE: NICOLA J BOCEK MD
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
1207Q00000XFamily Medicine PhysicianMD00015371WA

General Provider Information

NPI Number : 1538180666
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLA J BOCEK MD
Provider Business Mailing Address
First Line : 3800 SUMMITVIEW AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98902-2715
Country : US
Telephone Number : 509-966-9480
Fax Number : 509-225-2704
Provider Business Practice Location Address
First Line : 504 N 40TH AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98908-4311
Country : US
Telephone Number : 509-966-9480
Fax Number : 509-225-2704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 10/02/2014

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Directions to “ NICOLA J BOCEK MD” Practice Location

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