Individual
WILLIAM BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Mailing address
8973 SOMERSET BLVD, FORT MYERS, FL 33919-4864
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
257352
AZ
390200000X
Student in an Organized Health Care Education/Training Program
9344380
FL
Other
Enumeration date
04/19/2021
Last updated
08/06/2021
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