Randall J. Bolar, Md, Plc

NPI #1316973522 in Clarksville, Tennessee

Provider Information

NPI Number: 1316973522
Entity Type: Organization
Organization Name: Randall J. Bolar, Md, Plc
Primary Specialty: Surgery
Enumeration Date: Jun 23, 2006
Last Updated: Feb 23, 2009

Practice Location

Address: 787 WEATHERLY DR
Address 2: SUITE 400
City: Clarksville
State: Tennessee
ZIP Code: 37043-8949
Phone: (931) 552-0380

Authorized Official

Name: DR. RANDALL J BOLAR, M.D.
Title: SOLE MEMBER
Phone: (931) 552-0380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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