Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolivar OB/GYN

Organization Obstetrics & Gynecology Physician · NPI 1720402175

Bolivar OB/GYN is an Obstetrics & Gynecology Physician in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014

Practice location Address checks out

1165 N Butterfield Rd Ste B
Bolivar, MO 65613-1056
Phone: (417) 777-8131
Fax: (417) 777-8892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2013021740 (MO)

Record details

NPI number1720402175
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSignature Medical Group
Authorized official Debra Volcko — Business Manager · (417) 777-8131
Other names Bolivar Ob/Gyn
NPI enumeratedFebruary 5, 2014
Last updated in NPPESFebruary 5, 2014
Mailing address1165 N Butterfield Rd, Suite B, Bolivar, MO 65613-1056

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