Individual
DAVID L BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9669 E 146TH STREET, SUITE 250, NOBLESVILLE, IN 46060-5004
(317) 621-9926
(317) 621-9676
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045566A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523089
ANTHEM
IN
01
—
000000659589
ANTHEM
IN
05
—
200120150
—
IN
Enumeration date
12/28/2005
Last updated
11/27/2023
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