MR. Timothy A Bolyard, PA C

NPI #1891769063 in Kingwood, West Virginia

Provider Information

NPI Number: 1891769063
Entity Type: Individual
Name: MR. Timothy A Bolyard, PA C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Feb 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 411 MORGANTOWN ST
City: Kingwood
State: West Virginia
ZIP Code: 26537
Phone: (304) 329-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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