Individual
RODERICK WAYNE BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
115 W BROADWAY BLVD, SEDALIA, MO 65301-5708
(660) 951-1091
Mailing address
115 W BROADWAY BLVD, SEDALIA, MO 65301-5708
(660) 951-1091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017032883
MO
Other
Enumeration date
09/12/2017
Last updated
02/22/2019
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