Provider Demographics
NPI:1801157672
Name:DOCKEN, PATRICIA
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:DOCKEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:BASCOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA (ASCP), MT(ASCP)
Mailing Address - Street 1:3613 S BEDFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-6655
Mailing Address - Country:US
Mailing Address - Phone:352-359-0039
Mailing Address - Fax:
Practice Address - Street 1:3613 S BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-6655
Practice Address - Country:US
Practice Address - Phone:352-359-0039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology