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Individual

BREANNA BOLLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2446 RESEARCH PKWY STE 200, COLORADO SPRINGS, CO 80920-1087
(719) 623-1050
Mailing address
7125 NEW SANGER AVE STE 516, WACO, TX 76712-4054

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
PA.0008286
CO

Other

Enumeration date
11/10/2021
Last updated
02/24/2025
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