Provider Demographics
NPI:1215988225
Name:KLOCK, ALEXIS MORVANT (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:MORVANT
Last Name:KLOCK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:S WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-0001
Mailing Address - Country:US
Mailing Address - Phone:780-803-2786
Mailing Address - Fax:781-812-1631
Practice Address - Street 1:223 CHIEF JUSTICE CUSHING HWY STE 301
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1391
Practice Address - Country:US
Practice Address - Phone:781-383-6261
Practice Address - Fax:781-383-1084
Is Sole Proprietor?:No
Enumeration Date:2006-05-14
Last Update Date:2024-10-03
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Provider Licenses
StateLicense IDTaxonomies
MA209164207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine