Individual
DR. ANDREW B. BOLDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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