Individual
JENNIFER BOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 LUTHERAN PKWY, SUITE 290, WHEAT RIDGE, CO 80033-6028
(303) 940-8200
Mailing address
3455 LUTHERAN PKWY, SUITE 290, WHEAT RIDGE, CO 80033-6028
(303) 940-8200
(303) 940-8400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
236364-1
NY
208600000X
Surgery Physician
Primary
51097
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02689292
—
NY
Enumeration date
07/25/2006
Last updated
02/03/2015
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