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BARRY BOCKOW, M.D., P.S.

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Company Details

Legal Name: BARRY BOCKOW, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 26th 1981
Date of Dissolution: March 3rd 2019
Expiration date: 31 Oct 2018
UBI Number: 600 419 694
ZIP code: 98166
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16122 8TH AVE SW STE D3, BURIEN, WA, 98166-2967, UNITED STATES

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Registered Agent Information

Name Role Address
BARRY BOCKOW MD Registered Agent 16122 8TH AVE SW, SEATTLE, WA, 98166-0000, UNITED STATES

Key Officers & Management

Name Role
BARRY BOCKOW Governing Person

National Provider Identifier

NPI Number:
1265750251

Authorized Person:

Name:
DR. BARRY BOCKOW
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
2062464272
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