ALTIMUS RAY BOLLEN

MALVERN, AR
NPI1720054125
Other NameRAY BOLLEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AR  C6072)
Enumeration Date2006-02-24
Last Update Date2008-05-22
Business Address
Dr. ALTIMUS RAY BOLLEN M.D.
1002 SCHNEIDER DR SUITE 104
MALVERN, AR 72104-4816
Phone number: 501-337-9066
Mailing Address
Dr. ALTIMUS RAY BOLLEN M.D.
11001 EXECUTIVE CENTER DR SUITE 200
LITTLE ROCK, AR 72211-4316
Phone number: 501-812-7587