DR. Altimus Ray Bollen, M.D.

NPI #1720054125 in Malvern, Arkansas

Provider Information

NPI Number: 1720054125
Entity Type: Individual
Name: DR. Altimus Ray Bollen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Feb 24, 2006
Last Updated: May 22, 2008

Practice Location

Address: 1002 SCHNEIDER DR
Address 2: SUITE 104
City: Malvern
State: Arkansas
ZIP Code: 72104-4816
Phone: (501) 337-9066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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