Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY R BOLIN, CO
Active Sole ProprietorMR. GARY R BOLIN, CO is a Orthotist healthcare provider located in FOOTHILL RANCH, California. NPI 1831267400 is currently active in the NPPES registry. Verify at CMS.
Orthotist · FOOTHILL RANCH, CA
Registration Details
- NPI Number
- 1831267400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.721728404009 yrs)
- Last Updated
- Jul 9, 2007
- License
-
CO3161
- Sole Proprietor
- Yes
Practice Information
- Address
-
74 FAIRFIELDFOOTHILL RANCH, CA, 926101855Browse CA providers · Browse ZIP 92610
- Phone
- 9497169091
- Fax
- 9499169245
- Primary Specialty
-
Orthotist
222Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.