Individual
DR. RICHARD O BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 339-7101
(814) 339-6165
Mailing address
PO BOX 129, CLEARFIELD, PA 16830-0129
(814) 339-7101
(814) 339-6165
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD028313E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010100010014
—
PA
Enumeration date
06/08/2006
Last updated
11/01/2007
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