Individual
BRUCE STEPHEN BOLIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3320 EXECUTIVE DR, SUITE 111, RALEIGH, NC 27609-7445
(919) 876-2427
(919) 790-8423
Mailing address
3320 EXECUTIVE DR, SUITE 111, RALEIGH, NC 27609-7445
(919) 876-2427
(919) 790-8423
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
95-01181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-1028R
—
NC
Enumeration date
05/15/2006
Last updated
04/14/2021
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