Tom Bolen Valid NPI
Individual provider · Hearing Instrument Specialist · O Fallon, IL
- NPI
- 1083833024
- Type
- Individual (Type 1)
- Primary specialty
- Hearing Instrument Specialist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 237700000X
- License number
- 1359 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-25
- Last updated
- 2013-08-28
Practice location
1415 W Us Highway 50
O Fallon, IL 62269-1618
(618) 624-4471