Shannon Bock, PA-C
NPI #1083662225 in Broomfield, Colorado
Provider Information
- NPI Number
- 1083662225
- Entity Type
- Individual
- Name
- Shannon Bock, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 4, 2006
- Last Updated
- May 18, 2020
Practice Location
- Address
- 403 SUMMIT BLVD
- Address 2
- STE 201
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80021
- Phone
- (303) 429-6448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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