MR. Joe D Boles JR.

NPI #1013228063 in Brunswick, Ohio

Provider Information

NPI Number: 1013228063
Entity Type: Individual
Name: MR. Joe D Boles JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 24, 2010
Last Updated: Jun 24, 2010

Practice Location

Address: 3864 CENTER RD STE A2
City: Brunswick
State: Ohio
ZIP Code: 44212-6600
Phone: (330) 225-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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