Individual
WILL BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPP
Contact information
Practice address
1100 ALABAMA AVE SE # 238, WASHINGTON, DC 20032-4542
(202) 299-5334
Mailing address
2920 SHERMAN AVE NW APT 2, WASHINGTON, DC 20001-3945
(318) 381-0932
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
500002865
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
07/09/2025
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