Individual
MR. DAVID ALFONSO BOLIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
292 POSADA LN, STE C, TEMPLETON, CA 93465-4054
(805) 434-3133
(805) 434-3850
Mailing address
292 POSADA LN, STE C, TEMPLETON, CA 93465-4054
(805) 434-3133
(805) 434-3850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A68461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A684610
—
CA
Enumeration date
08/12/2005
Last updated
08/16/2022
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