Jerry L Boldon, CRNA
NPI #1437125390 in Little Falls, Minnesota
Provider Information
- NPI Number
- 1437125390
- Entity Type
- Individual
- Name
- Jerry L Boldon, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 808 3RD ST SE
- Address 2
- SUITE 130
- City
- Little Falls
- State
- Minnesota
- ZIP Code
- 56345-3557
- Phone
- (320) 632-5743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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