Individual
DR. JODIE LYNN BOLT
Active
Individual
DR. JODIE LYNN BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
0101045084
VA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD00035673
WA
2084P0005X
Neurodevelopmental Disabilities Physician
0101045084
VA
2084P0005X
Neurodevelopmental Disabilities Physician
MD00035673
WA
Other
Enumeration date
02/08/2006
Last updated
08/22/2024
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