Individual
DR. BARRY I. BOCKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S 43RD ST, SUITE D-3, RENTON, WA 98055-5714
(425) 656-5448
(425) 656-5449
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17343
WA
207RR0500X
Rheumatology Physician
Primary
MD00017343
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027356
—
WA
05
—
1659101
—
WA
Enumeration date
07/12/2006
Last updated
02/07/2017
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