Individual
MR. DAVID G BOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 S GRANT ST APT 5, RUSSELL, KS 67665-2839
(785) 735-7268
Mailing address
109 S GRANT ST APT 5, RUSSELL, KS 67665-2839
(785) 735-7268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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