person
Krista D Bolanger, PA
Medical Physician Assistant in Dayton, Ohio
NPI 1073651337

Krista D Bolanger is a Medical Physician Assistant based in Dayton, OH and is specialized in Medical. Krista D Bolanger practices in Dayton, OH and has the professional credentials of PA. The NPI Number for Krista D Bolanger is 1073651337 and holds a License No. 50 002179 (Ohio).

The current practice location address for Krista D Bolanger is 9000 N Main St, Dayton, OH and can be reached out via phone at 937-832-4773 and via fax at 937-832-2986.

Location: 9000 N Main St, Dayton, OH, 45415-1180
person
Provider Profile Details
NPI Number
1073651337
Provider Name
Krista D Bolanger
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
9000 N Main St, Dayton, OH, 45415-1180
Phone Number
937-832-4773
Fax Number
937-832-2986
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0067813 05 OH
institution
Provider Business Practice Location Address Details
Address
9000 N Main St
City
State
Zip
45415-1180
Phone Number
937-832-4773
Fax Number
937-832-2986
person
Provider Business Mailing Address Details
Address
9000 N Main St
City
State
Zip
45415-1180
Phone Number
937-832-4773
Fax Number
937-832-2986
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50 002179 (Ohio)
Definition
Definition to come...
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