| NPI | 1720157464 |
|---|---|
| Doing Business As | SCOTT M BOLHACK MD PC |
| Entity Type | Organization |
| Authorized Contact | SCOTT M BOLHACK Owner/Authorized Official 520-670-0745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 20393) |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 20393) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-03-22 |