Individual
ROLPH M BOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 775-2816
Mailing address
13523 BARRETT PARKWAY DR, STE 210, BALLWIN, MO 63021-3802
(314) 775-2816
(314) 775-2821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
142123
MO
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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