| NPI | 1720402175 |
|---|---|
| Doing Business As | BOLIVAR OB/GYN |
| Entity Type | Organization |
| Authorized Contact | DEBRA R VOLCKO Business Manager 417-777-8131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2013021740) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |