Individual
ANN L BOLLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
77 CASA ST STE 201, SAN LUIS OBISPO, CA 93405-5806
(805) 269-1566
(805) 269-1594
Mailing address
77 CASA ST STE 201, SAN LUIS OBISPO, CA 93405-5806
(805) 269-1566
(805) 269-1594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G78858
CA
208M00000X
Hospitalist Physician
Primary
G78858
CA
Other
Enumeration date
04/20/2006
Last updated
07/17/2020
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