Carla Prince Bolivar, M.D.

NPI #1922233873 in Farmington, Missouri

Provider Information

NPI Number: 1922233873
Entity Type: Individual
Name: Carla Prince Bolivar, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 21, 2009
Last Updated: Mar 9, 2021

Practice Location

Address: 515 MAPLE VALLEY DR
City: Farmington
State: Missouri
ZIP Code: 63640-1919
Phone: (573) 760-7920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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