Individual
PETER AVERY BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, IM/GERIATRICS, RICHMOND, VA 23298-5051
(804) 828-5323
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101034700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6063616 541581185
—
VA
Enumeration date
10/03/2006
Last updated
07/08/2007
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