MEDICARE: DR. CHRISTOPHER M ROCK 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
1	207Q00000X	Family Medicine Physician	0102203253	VA

General Provider Information

NPI Number	:	1376831560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER M ROCK D.O.

Provider Business Mailing Address
First Line	:	UNIT 100111 BOX 1
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96629-1100
Country	:	US
Telephone Number	:	619-545-3616
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIT 100111 BOX 1
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96629-1100
Country	:	US
Telephone Number	:	619-545-3616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	01/16/2025

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