Marisa Bocklet

NPI #1023871373 in Concord, North Carolina

Provider Information

NPI Number: 1023871373
Entity Type: Individual
Name: Marisa Bocklet
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 31, 2024
Last Updated: May 7, 2025

Practice Location

Address: 100 MEDICAL PARK DR STE 310A
City: Concord
State: North Carolina
ZIP Code: 28025-2966
Phone: (704) 403-2660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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