Grigorii Gennadiyouych Bouldo, D.O.

NPI #1912260787 in Staunton, Virginia

Provider Information

NPI Number: 1912260787
Entity Type: Individual
Name: Grigorii Gennadiyouych Bouldo, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 18, 2012
Last Updated: Sep 5, 2023

Practice Location

Address: 40 LAMBERT ST
City: Staunton
State: Virginia
ZIP Code: 24401-2446
Phone: (540) 885-3525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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