Individual
MR. THOMAS CRAIG BOLDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
550 RUSH CREEK PKWY, SUITE A, LIBERTY, MO 64068-9608
(816) 455-1155
(816) 455-1161
Mailing address
550 RUSH CREEK PKWY, SUITE A, LIBERTY, MO 64068-9608
(816) 455-1155
(816) 455-1161
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000575
MO
213E00000X
Podiatrist
12-00227
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302817903
—
MO
Enumeration date
07/22/2005
Last updated
09/09/2011
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