Individual
DR. WARREN BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST RM 2562B, LOMA LINDA, CA 92354-2804
(909) 558-4479
(909) 558-4825
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
20715
WV
207T00000X
Neurological Surgery Physician
Primary
C142036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001376000
—
WV
Enumeration date
09/22/2006
Last updated
07/21/2022
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