National Provider Identifier
Mark R Klocke, M.D.
Mark R Klocke, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Amherst, NY and a listed phone number of (716) 834-4522.
Profile Overview
- NPI
- 1104816065
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- October 24, 2005
- Last Updated
- July 21, 2014
Practice Location
- 6000 N Bailey Ave
- Amherst, NY 14226-5102
Phone: (716) 834-4522
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1104816065
- Entity Type
- Individual
- Last Name
- Klocke
- First Name
- Mark
- Middle Name
- R
- Credential
- M.D.
- Mailing Street Address
- 6000 N Bailey Ave
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-5102
- Mailing Country
- US
- Mailing Phone
- (716) 834-4522
- Mailing Fax
- (716) 834-6191
- Practice Street Address
- 6000 N Bailey Ave
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-5102
- Practice Country
- US
- Practice Phone
- (716) 834-4522
- Practice Fax
- (716) 834-6191
- Enumeration Date
- October 24, 2005
- Last Updated
- July 21, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 040426001490 (NY, Fidelis), 00010092105 (NY, Univera), 01245578 (NY), 000511134005 (NY, Bc/Bs), 1208952 (NY, Iha), 143849DL (NY, Preferred Care)