Organization · Type 2 NPI

Bolivar Physician Practices LLC

Orthopaedic Surgery Physician · Cleveland, MS

NPI number 1063659530 Active

Practice location

907 E Sunflower Rd, Suite 102
Cleveland, MS 38732-2830

Fax (662) 843-2280

Mailing address

907 E Sunflower Rd Ste 102
Cleveland, MS 38732-2830

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1063659530

Bolivar Physician Practices LLC's National Provider Identifier is 1063659530, issued on Jan 20, 2009. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Cleveland, MS. The record was last updated on Jun 4, 2026.