DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRIAN P BOLEY PA

MEDICARE: BRIAN P BOLEY PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1629CO

General Provider Information

NPI Number : 1396721429
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN P BOLEY PA
Provider Business Mailing Address
First Line : 203 S ROLLIE AVE
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1508
Country : US
Telephone Number : 303-286-4560
Fax Number : 303-286-4589
Provider Business Practice Location Address
First Line : 1115 2ND ST
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1745
Country : US
Telephone Number : 303-857-4388
Fax Number : 303-857-1179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 07/13/2007

Similar Medicare Providers

1942204698 — BARBARA A PIVONKA FNP
Practice Location Address:
1115 2ND ST
FORT LUPTON, CO
80621-1745
Practice Phone: 303-857-2771
Practice Fax: 720-322-9434
1558356667 — ASSOCIATED PHARMACISTS INC
Practice Location Address:
1115 2ND ST
FORT LUPTON, CO
80621-1745
Practice Phone: 303-857-1502
Practice Fax: 720-274-5472
1013993682 — TILLMAN FARLEY MD
Practice Location Address:
1115 2ND ST
FORT LUPTON, CO
80621-1745
Practice Phone: 303-857-2771
Practice Fax: 720-322-9434
1982680021 — EDWARD HENDRIKSON PA
Practice Location Address:
1115 2ND ST
FORT LUPTON, CO
80621-1745
Practice Phone: 303-857-2771
Practice Fax: 720-322-9434
1477527570 — STEPHANIE N MILLER PA
Practice Location Address:
1115 2ND ST
FORT LUPTON, CO
80621-1745
Practice Phone: 303-857-2771
Practice Fax: 720-322-9434
1336286624 — KATHERINE RUFNER MD
Practice Location Address:
1115 2ND ST
FORT LUPTON, CO
80621-1745
Practice Phone: 303-857-2771
Practice Fax: 720-322-9434

Directions to “ BRIAN P BOLEY PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.