Kathleen Joan Boland OD

NPI 1093822389 - Optometrist - 152WL0500X

NPI Details
NPI 1093822389
Gender Female
Enumeration Date 08/24/2006
Last Updated 01/31/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
7800 NATURAL BRIDGE RD
1 UNIVERSITY BLVD
SAINT LOUIS MO, 63121-4617, US
Phone (314) 516-5131
Fax (314) 516-5507
Business Location
ONE UNIVERSITY BLVD
115 MARILLAC HALL
ST. LOUIS MO, 63121, US
Phone (314) 516-5131
Fax (314) 516-5507
Toxanomy
Taxonomy Code 152WL0500X
License State Missouri
License Number 2002020286
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According to our database, Dr. Kathleen Joan Boland OD NPI is 1093822389, taxonomy code is 152WL0500X and license number is 2002020286, license state is located at Missouri. Kathleen Joan Boland OD physically located at 7800 Natural Bridge Rd, Saint Louis MO, 63121-4617. NPI Number Kathleen Joan Boland OD has the Individual type.

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1093822389 NPI number is provided on an as is basis without warranty of any kind. 1093822389 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Joan Boland OD are for informational purposes only.