Individual
SCOTT M BOLHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5130 NORTH CIRCULO SOBRIO, TUCSON, AZ 85718-6036
(520) 670-0745
(520) 509-4496
Mailing address
2850 NORTH COUNTRY CLUB ROAD, TUCSON, AZ 85716-1910
(520) 322-6274
(520) 509-4496
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
20393
AZ
208000000X
Pediatrics Physician
20393
AZ
Other
Enumeration date
11/09/2005
Last updated
03/22/2019
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