Individual provider · NPI-1

Louis R Bolen, M.D.

Emergency Medicine, Emergency Medical Services · Tallahassee, FL

NPI number1992721393

StatusActive

Last updated in NPPESMar 21, 2013

Details

NPI: 1992721393
Entity type: Individual (NPI-1)
Name: Louis R Bolen
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jul 15, 2006
Last updated: Mar 21, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207PE0004X	Emergency Medicine, Emergency Medical Services	ME74713	FL	Yes

Practice location

1605 E Plaza Dr Ste 103
Tallahassee, FL 32308-5327

Phone 850-878-7271 · Fax 850-878-1509

Mailing address

1605 E Plaza Dr Ste 103
Tallahassee, FL 32308-5327

Phone 850-878-7271 · Fax 850-878-1509

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