Individual
DR. JOHN A BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY, STE 406, LAFAYETTE, LA 70508-6949
(337) 989-8770
(337) 989-8768
Mailing address
4630 AMBASSADOR CAFFERY PKWY, STE 406, LAFAYETTE, LA 70508-6949
(337) 989-8770
(337) 989-8768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
010571
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119491
—
LA
05
—
1442291
—
LA
Enumeration date
12/08/2005
Last updated
07/09/2007
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