Individual
TIMOTHY JEROME BOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3462
(319) 384-7899
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-5258
(319) 356-4685
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DO-05583
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
DO-05583
IA
Other
Enumeration date
06/02/2017
Last updated
07/13/2023
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