Individual
DR. BRIAN MICHAEL BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Mailing address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OP60104328
WA
Other
Enumeration date
06/11/2008
Last updated
08/29/2024
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