Individual
DR. CHRISTOPHER W BOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 687-6353
(541) 242-8413
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16014
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066977
—
OR
Enumeration date
02/06/2006
Last updated
03/09/2010
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