Jeffrey Thomas Bolka M.D.

NPI 1073650511 - Anesthesiology - 207L00000X

NPI Details
NPI 1073650511
Gender Male
Enumeration Date 02/01/2007
Last Updated 12/03/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
VANCOUVER WA, 98664-3200, US
Phone (360) 828-5396
Fax (360) 828-5455
Business Location
PO BOX 5157
VANCOUVER WA, 98668-5157, US
Phone (360) 667-3056
Fax (360) 666-0466
Taxonomy Code 207L00000X
License State Maryland
License Number T4905
Remove 1073650511 NPI Number

According to our database, Dr. Jeffrey Thomas Bolka M.D. NPI is 1073650511, taxonomy code is 207L00000X and license number is T4905, license state is located at Maryland. Jeffrey Thomas Bolka M.D. physically located at 400 Ne Mother Joseph Pl, Vancouver WA, 98664-3200. NPI Number Jeffrey Thomas Bolka M.D. has the Individual type.

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1073650511 NPI number is provided on an as is basis without warranty of any kind. 1073650511 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Thomas Bolka M.D. are for informational purposes only.