Individual
OLIVIA LOUISE BOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-4141
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-4141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008017225
MO
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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