MEDICARE: ERICH V. BOCK, D.P.M., P.C.

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	213E00000X	Podiatrist	138	AZ

General Provider Information

NPI Number	:	1982984373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERICH V. BOCK, D.P.M., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 43160
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3160
Country	:	US
Telephone Number	:	520-722-3777
Fax Number	:	520-296-6224

Provider Business Practice Location Address
First Line	:	7320 N LA CHOLLA BLVD
Second Line	:	#154-214
City	:	TUCSON
State	:	AZ
Zip	:	85741-2309
Country	:	US
Telephone Number	:	520-219-1477
Fax Number	:	520-797-1254

Authorized Official
Title or Position	:	D.P.M / OWNER
Name	:	DR. ERICH V. BOCK
Credential	:	D.P.M.
Telephone Number	:	520-299-1477

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	08/17/2011

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