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EDWARD BOCC PHYSICIAN ASSISTANT
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1215014469
Individual Registrant: EDWARD BOCC PHYSICIAN ASSISTANT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1381 UNIVERSITY AVE HEALDSBURG, CA 95448-3314 US
Tel: 707-431-8234 Fax: 707-431-8649
Tel: 707-431-8234 Fax: 707-431-8649
Contact information for business:
1381 UNIVERSITY AVE HEALDSBURG, CA 95448 US
Tel: 707-431-8234 Fax: --
Tel: 707-431-8234 Fax: --
Registration Information:
NPI: 1215014469
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | CA | PA18351 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
