Individual
DR. ANDREW B. BOLDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 431-0330
(573) 471-0461
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005022494
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199827
BCBS MO NUMBER
MO
05
—
207266701
—
MO
01
—
430741410
FIRST HEALTH NUMBER
MO
01
—
730776
HEALTHLINK
MO
Enumeration date
01/05/2006
Last updated
01/14/2021
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