Individual
DAVID L BOLLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 N 14TH ST, WAKEENEY, KS 67672-3000
(785) 743-2124
Mailing address
318 N 8TH, WAKEENEY, KS 67672
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0421431
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105875
BCBS - WFCC
KS
01
—
105876
BCBS - EFCC
KS
Enumeration date
10/12/2006
Last updated
07/09/2007
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