Bolick, David R
Bolick, David R is an individual health care provider with primary practice located at 858 S Auto Mall Dr Ste 102 , American Fork UT 84003-2983. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Bolick, David R can be contacted via phone (801) 899-3828.Contact Information
Primary practice address
858 S Auto Mall Dr Ste 102
American Fork UT 84003-2983
Phone: (801) 899-3828
Fax: (801) 855-7548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 33101 | Arizona |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 33101 | Arizona |
Profile Details
| NPI number | 1467431080 |
|---|---|
| LBN Legal business name | Bolick, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Dec 21st, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467431080 | NPPES |
| Arizona | MEDICAID | 805003300 |
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