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Individual

DR. ROCKNE K ELI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1203 E MAIN, PUYALLUP, WA 98372-3132
(253) 848-2244
(253) 848-1337
Mailing address
1203 E MAIN, PUYALLUP, WA 98372-3132
(253) 848-2244
(253) 848-1337

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3384
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0146161
LABOR AND INDUSTRIES
WA
01
5877EL
BLUE CROSS BLUE SHIELD
WA
01
912047546
BLUE CROSS
WA
Enumeration date
09/13/2006
Last updated
08/29/2012
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