Individual
DR. ROBERT JOHN BOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-6908
Mailing address
PO BOX 413030, SALT LAKE CITY, UT 84141-3030
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
244054
NY
207T00000X
Neurological Surgery Physician
Primary
7625702-1205
UT
207T00000X
Neurological Surgery Physician
P0701
TX
Other
Enumeration date
05/04/2007
Last updated
10/28/2021
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