Individual provider · Type 1 NPI

Jodie Lynn Bolt, MD

Neurology with Special Qualifications in Child Neurology Physician · Tacoma, WA

NPI number 1174596415 Active

Practice location

9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431-1100

Call (253) 968-1440 Map

Fax (253) 968-0443

Mailing address

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-1100

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X0101045084 (VA)
Neurodevelopmental Disabilities Physician 2084P0005X0101045084 (VA)
Neurodevelopmental Disabilities Physician 2084P0005XMD00035673 (WA)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XMD00035673 (WA)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1174596415

Jodie Lynn Bolt, MD's National Provider Identifier is 1174596415, issued on Feb 8, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Tacoma, WA. The record was last updated on Aug 22, 2024.