Preston Boles, DPM Valid NPI
Individual provider · Podiatrist · Greenwood, MS
- NPI
- 1699734855
- Type
- Individual (Type 1)
- Primary specialty
- Podiatrist
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213E00000X
- License number
- 80105 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-17
- Last updated
- 2008-04-02
Practice location
309 W Church St
Greenwood, MS 38930-4305
(662) 453-9004