Healthcare Provider Details

I. General information

NPI: 1235312323
Provider Name (Legal Business Name): ROBERT ARNOLD BOK MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 4TH ST SUITE 201, BYERS HALL, UCSF
SAN FRANCISCO CA
94158-2330
US

IV. Provider business mailing address

1700 4TH ST SUITE 201, BYERS HALL, UCSF
SAN FRANCISCO CA
94158-2330
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-9716
  • Fax: 415-514-9656
Mailing address:
  • Phone: 415-514-9716
  • Fax: 415-514-9656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA51379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: