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Individual
DR. KEITH J BOLYARD
Active
Individual
DR. KEITH J BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C7460
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920103
UNITED HEALTHCARE
AR
01
—
100024370A
OKLAHOMA MEDICAID
OK
05
—
138844001
—
AR
01
—
18030000000
QUALCHOICE
AR
01
—
200038806
RAILROAD MEDICARE
AR
01
—
3117278
CIGNA
AR
01
—
5160690
AETNA
AR
01
—
5K982
ARKANSAS BLUE CROSS
AR
01
—
904213
USA MCO
AR
Enumeration date
03/09/2006
Last updated
06/07/2016
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