Individual
GRAEME B BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-9999
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
23647
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000099095
BLUE CROSS
AL
05
—
000099095
—
AL
01
—
900003368
RAILROAD MEDICARE
AL
01
—
H25393
VIVA
AL
Enumeration date
05/24/2006
Last updated
06/10/2011
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