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Individual
MR. ANTHONY BRADLEY BOLAND
Active
Individual
MR. ANTHONY BRADLEY BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
044417
GA
2086S0129X
Vascular Surgery Physician
Primary
20979
MS
2086S0129X
Vascular Surgery Physician
MD00022869
WA
2086S0129X
Vascular Surgery Physician
MD29549
TN
Other
Enumeration date
12/22/2005
Last updated
12/03/2014
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