Individual
DR. SAMUEL FRANK BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0051567
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
10252068
AMERIGROUP
—
01
—
1479534
AETNA HMO
—
01
—
4612891
AETNA PPO
—
01
—
54794107
BCBS
—
01
—
54794109
BCBS
—
01
—
54794110
BCBS
—
01
—
547947108
BCBS
—
05
—
711502400
—
MD
Enumeration date
07/05/2005
Last updated
04/12/2017
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