Diane Bolduc, M.D.

NPI #1174537047 in Roseburg, Oregon

Provider Information

NPI Number: 1174537047
Entity Type: Individual
Name: Diane Bolduc, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 28, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 340 MEDICAL LOOP
City: Roseburg
State: Oregon
ZIP Code: 97470-1645
Phone: (541) 464-5907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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