| Doctor Name: | BOLA R YAFET |
| NPI Number: | 1053448076 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 16870 |
| Business Practice Address: | 16601 E Centretech Pkwy Aurora, CO - 800119045 |
| Business Phone Number: | 7205367933 |
| Business Fax Number: | |
| Mailing Address: | 5894 S Espana St, AURORA |
| State: | CO |
| Postal Code: | 800155108 |
| Phone Number: | 3037663731 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16870 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |