Individual
ALEC BOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-1919
Mailing address
128 LIEDERKRANZ LN, MILLSTADT, IL 62260-2266
(618) 971-5155
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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