Organization · Type 2 NPI

Bolivar Physician Practices LLC

Otolaryngology Physician · Cleveland, MS

NPI number 1386076800 Active

Practice location

903 E Sunflower Rd, Suite 400
Cleveland, MS 38732-2835

Fax (662) 545-3204

Mailing address

903 E Sunflower Rd Ste 400
Cleveland, MS 38732-2836

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1386076800

Bolivar Physician Practices LLC's National Provider Identifier is 1386076800, issued on Aug 7, 2013. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Cleveland, MS. The record was last updated on Jun 4, 2026.