Individual
DR. NATHANIEL ADAM BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1414 W 12TH ST, HASTINGS, NE 68901-3742
(402) 462-9191
Mailing address
1918 W 5TH ST, HASTINGS, NE 68901-4704
(308) 440-3837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1292
NE
Other
Enumeration date
11/16/2007
Last updated
01/23/2013
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