Individual
ALLAN ANTHONY BOLIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(210) 563-9539
Mailing address
126 SAW MILL RD, SAINT ROBERT, MO 65584-4711
(210) 563-9539
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128866
TX
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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