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Organization

BOLGER AESTHESTICS, PC

Active
Other names
Medical Aesthetics and Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL BOLGER MD (OWNER)
(563) 355-4813
Entity
Organization

Contact information

Practice address
5510 UTICA RIDGE RD, SUITE 300, DAVENPORT, IA 52807-2946
(563) 355-4813
(563) 594-5161
Mailing address
5510 UTICA RIDGE RD, SUITE 300, DAVENPORT, IA 52807-2946
(563) 355-4813
(563) 594-5161

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
12/30/2013
Last updated
01/31/2014
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