Individual
SHEA BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A179202
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A179202
CA
Other
Enumeration date
03/18/2019
Last updated
08/07/2024
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