Tara Jock, PA

NPI #1912256975 in Mason, Michigan

Provider Information

NPI Number: 1912256975
Entity Type: Individual
Name: Tara Jock, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 6, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 790 E COLUMBIA ST
City: Mason
State: Michigan
ZIP Code: 48854-1387
Phone: (517) 244-0120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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