Individual
DR. JODY M BOCKRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1716 W. MARINE VIEW DRIVE #C, NORTH SOUND EMERGENCY MEDICINE, EVERETT, WA 98201
(425) 259-0212
Mailing address
27101 SE 166TH PL, ISSAQUAH, WA 98027-6911
(360) 202-7893
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD 60141982
WA
2083A0100X
Aerospace Medicine Physician
00025558
AL
390200000X
Student in an Organized Health Care Education/Training Program
62665
NY
Other
Enumeration date
12/19/2005
Last updated
09/25/2012
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