Brian P Boley, PA

NPI #1396721429 in Fort Lupton, Colorado

Provider Information

NPI Number: 1396721429
Entity Type: Individual
Name: Brian P Boley, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 20, 2005
Last Updated: Jul 13, 2007

Practice Location

Address: 1115 2ND ST
City: Fort Lupton
State: Colorado
ZIP Code: 80621-1745
Phone: (303) 857-4388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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