Individual
PATRICK LYNN BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24316
MS
207N00000X
Dermatology Physician
PGY..202111
LA
207R00000X
Internal Medicine Physician
LL34725
SC
Other
Enumeration date
06/12/2012
Last updated
07/14/2016
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