IndividualActive
Jodie Bolt, MD
NPI 1174596415 · Neurology with Special Qualifications in Child Neurology Physician · Tacoma, WA
Provider details
- NPI number
- 1174596415
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101045084 (VA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense MD00035673 (WA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431-1100
Phone: (253) 968-1440
Fax: (253) 968-0443
Approximate (ZIP-level) locationGet directions
Mailing address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-1100
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.