Doctor Name: | DR. JONATHAN ANDREW BOLLES |
NPI Number: | 1003839093 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 23017 |
Business Practice Address: | 1201 S Miller St Ste A Wenatchee, WA - 988013201 |
Business Phone Number: | 5096638711 |
Business Fax Number: | |
Mailing Address: | 820 N Chelan Ave, WENATCHEE |
State: | WA |
Postal Code: | 988012028 |
Phone Number: | 5096638711 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 23017 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |