Dr. JODIE LYNN BOLT MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Provider Information
- NPI Number
1174596415- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, TACOMA, WA, 984311100
- Phone
- (253) 968-1440
- Fax
- (253) 968-0443
Specialties & Taxonomies
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
License: VA #0101045084
Psychiatry & Neurology, Neurodevelopmental Disabilities
License: VA #0101045084
Psychiatry & Neurology, Neurodevelopmental Disabilities
License: WA #MD00035673
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Primary License: WA #Md00035673