| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | DAVID REED BOLICK · David Bolick | [sources] | |||
| Other name | Arizona Pathology Group · Bolick, David R. | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider Number: N/A · UPIN: F86988 | [sources] | |||
| First name | David | [sources] | |||
| Last name | Bolick | [sources] | |||
| Middle name | REED | [sources] | |||
| NPI | 1467431080 | [sources] | |||
| Registration number | 33101 | [sources] | |||
| Sector | MD - pathology · Physician | [sources] | |||
| Position | PATHOLOGY (MEDICAL PRACTICE, MD) | [sources] | |||
| Address | 445 North 5th St., Ste. #300, Phoenix, AZ · FLORENCE, CO 81226, USA · Florence, CO · P O BOX 8500, #15180-081, FLORENCE, CO 81226 · P.O. Box 8500, #15180-081, Florence, CO | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in Wyoming's Medicaid program.
United States · WDH
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-medwy-43b333085376c4d89d38be9ca444afad301c16ed · us-medca-0745713b0f514c469f8ccb7f7738ba5f264df305 · us-fed-excl-david-reed-bolick-81226-florenceFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Florence, CO | United States | |
| United States | Wyoming Department of Health | - | - |
| United States | Department of Health Care Services | - | - |
| United States | OPM | Reciprocal | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |