Individual
DR. DAVID R BOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
858 S AUTO MALL DR STE 102, AMERICAN FORK, UT 84003-2983
(801) 899-3828
(801) 855-7548
Mailing address
858 S AUTO MALL DR STE 102, AMERICAN FORK, UT 84003-2983
(801) 899-3828
(801) 855-7548
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
33101
AZ
207ZP0101X
Anatomic Pathology Physician
Primary
33101
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805003300
—
AZ
Enumeration date
01/12/2006
Last updated
12/21/2017
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