Mr. Richard C Boleware, CP
Mr. Richard C Boleware, CP is a Prosthetist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
2 Old River Pl Ste DJackson, MS 39202-3435
Phone: (601) 944-1130
Fax: (601) 355-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence CP003226 (MS) |
|---|
Record details
| NPI number | 1194909069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CP |
| Sole proprietor | No |
| NPI enumerated | December 27, 2007 |
| Last updated in NPPES | May 19, 2015 |
| Mailing address | 2 Old River Pl Ste D, Jackson, MS 39202-3435 |
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