TERRY L BOLEN

FALLON PAIUTE-SHOSHONE TRIBE

Dr TERRY L BOLEN is a male medical professional, specializing in Optometry. He graduated in 1978 from Ohio State University - College Of Optometry.

Contact

FALLON PAIUTE-SHOSHONE TRIBE

1001 RIO VISTA DR
FALLON
NV
894065463

Tel: 7754233634

TERRY L BOLEN Information

Npi 1033157417
Pac Id 1153490214
Professional Enrollment Id I20080515000664
Last Name BOLEN
First Name TERRY
Middle Name L
Suffix
Gender M
Credential
Medical School Name OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1978
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FALLON PAIUTE-SHOSHONE TRIBE
Group Practice Pac Id 0042399578
Number Of Group Practice Members 14
Line 1 Street Address 1001 RIO VISTA DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FALLON
State NV
Zip Code 894065463
Phone Number 7754233634
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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