Organization
BOLIVAR MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D FOLLIS APRN, BC (OWNER/PRESIDENT)
(417) 326-4000
Entity
Organization
Contact information
Practice address
714 N POMME DE TERRE AVE, BOLIVAR, MO 65613-1241
(417) 326-4000
(417) 326-6400
Mailing address
714 N POMME DE TERRE AVE, BOLIVAR, MO 65613-1241
(417) 326-4000
(417) 326-6400
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
01/20/2015
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