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Individual

ELIJAH HOLBROOK BOLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1802 BANKS SSTREET, APARTMENT 1, HOUSTON, TX 77098
(865) 384-4905

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
E-8664
AR
2080P0202X
Pediatric Cardiology Physician
N7526
TX

Other

Enumeration date
10/26/2012
Last updated
08/22/2016
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