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Scott M Boles, MD
Pediatric Radiology Physician in San Diego, California
NPI 1356317747

Scott M Boles is a Pediatric Radiology Physician based in San Diego, CA and is specialized in Pediatric Radiology. Scott M Boles practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Scott M Boles is 1356317747 and holds a License No. G85063 (California).

The current practice location address for Scott M Boles is 8745 Aero Drive, San Diego, CA and can be reached out via phone at 858-565-0950 and via fax at 858-244-1100.

Location: 8745 Aero Drive, San Diego, CA, 92193-3540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356317747
Provider Name
Scott M Boles
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8745 Aero Drive, San Diego, CA, 92193-3540
Phone Number
858-565-0950
Fax Number
858-244-1100
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0083812 05 CA
GR0083813 05 CA
GR0083816 05 CA
ZZZ75341Z 05 CA
GR0083817 05 CA
GR0083811 05 CA
GR0083815 05 CA
GR0083810 05 CA
institution
Provider Business Practice Location Address Details
Address
8745 Aero Drive
City
San Diego
State
California
Zip
92123-1774
Phone Number
858-565-0950
Fax Number
858-244-1100
person
Provider Business Mailing Address Details
Address
8745 Aero Drive
City
San Diego
State
California
Zip
92123-1774
Phone Number
858-565-0950
Fax Number
858-244-1100
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G85063 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
G85063 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
G85063 (California)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
G85063 (California)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G85063 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
G85063 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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