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Grigorii Gennadiyouych Bouldo, DO
Family Medicine Physician in Staunton, Virginia
NPI 1912260787

Grigorii Gennadiyouych Bouldo is a Family Medicine Physician based in Roanoke, VA. Grigorii Gennadiyouych Bouldo practices in Staunton, VA and has the professional credentials of DO. The NPI Number for Grigorii Gennadiyouych Bouldo is 1912260787 and holds a License No. 0116025455 (Virginia).

The current practice location address for Grigorii Gennadiyouych Bouldo is 40 Lambert St, Staunton, VA and can be reached out via phone at 540-885-3525 and via fax at 540-886-5935. You can also correspond with Grigorii Gennadiyouych Bouldo through the mailing address at 213 S JEFFERSON ST STE 1006, ROANOKE, VA - 24011-1713 (mailing address contact number: ).

Location: 40 Lambert St, Staunton, VA, 24011-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912260787
Provider Name
Grigorii Gennadiyouych Bouldo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
40 Lambert St, Staunton, VA, 24011-1713
Phone Number
540-885-3525
Fax Number
540-886-5935
Provider Enumeration Date
06/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Lambert St
City
Staunton
State
Virginia
Zip
24401-2446
Phone Number
540-885-3525
Fax Number
540-886-5935
person
Provider Business Mailing Address Details
Address
40 Lambert St
City
Staunton
State
Virginia
Zip
24401-2446
Phone Number
540-885-3525
Fax Number
540-886-5935
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0116025455 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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