Individual
BOLA R YAFET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16601 E CENTRETECH PKWY, AURORA, CO 80011-9045
(720) 536-7933
Mailing address
5894 S ESPANA ST, AURORA, CO 80015-5108
(303) 766-3731
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16870
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012776
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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