CHARLES LAWRENCE BOCK

ROANOKE, VA
NPI1740200815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024093099)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Mr. CHARLES LAWRENCE BOCK crna
7720 CREEK CIR
ROANOKE, VA 24018-6721
Phone number: 540-772-1169
Mailing Address
Mr. CHARLES LAWRENCE BOCK crna
7720 CREEK CIR
ROANOKE, VA 24018-6721
Phone number: 540-772-1169