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Individual

ANGELA DENE BOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
591 E 36TH ST N, TULSA, OK 74106-1812
(918) 619-4400
(918) 619-4591
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
(918) 619-4152

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4505
OK

Other

Enumeration date
06/05/2007
Last updated
08/04/2022
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