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Individual

DR. STEVEN C BOLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9191 W THUNDERBIRD ROAD, SUITE D-105, PEORIA, AZ 85381-4841
(623) 849-3811
(623) 849-5221
Mailing address
9191 W THUNDEBIRD ROAD, STE. D-105, PEORIA, AZ 85381-4841
(623) 849-3811
(623) 849-5221

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1869
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254483
AZ
Enumeration date
08/19/2006
Last updated
04/01/2015
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