Organization · Type 2 NPI

Bolivar Ob/gyn

Obstetrics & Gynecology Physician · Bolivar, MO

NPI number 1720402175 Active

Practice location

1165 N Butterfield Rd, Suite B
Bolivar, MO 65613-1056

Fax (417) 777-8892

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	2013021740 (MO)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3 other providers at this address

NPI record

NPI: 1720402175
Entity type: Organization (Type 2)
Issued: Feb 5, 2014
Last updated: Feb 5, 2014
Status: Active
Subpart: Yes of Signature Medical Group

Other names

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Bolivar Ob/gyn · doing business as

Authorized official

Mrs. Debra R Volcko, MT(ASCP) CSC, COBGC
Business Manager
(417) 777-8131

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720402175

Bolivar Ob/gyn's National Provider Identifier is 1720402175, issued on Feb 5, 2014. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Bolivar, MO. The record was last updated on Feb 5, 2014.