Scott M. Boles MD
Diagnostic Radiology Physician in San Diego, CA(View on Map)
Full Name
Scott M Boles MD
NPI Number
1356317747
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/24/2006
Specialties
(Taxonomies)Name
Code
2085R0202X
2085B0100X
2085U0001X
2085N0700X
2085N0904X
2085P0229X
Primary Taxonomy
Yes
No
No
No
No
No
Licenses
State
California
License Number
G85063
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 23540
8745 AERO DRIVE
City
San Diego
San Diego
State
CA
CA
Postal Code
92193-3540
92123-1774
Country
US
US
Telephone Number
(858) 565-0950
(858) 565-0950
Identifiers
Identifier
GR0083812
GR0083813
GR0083816
ZZZ75341Z
GR0083817
GR0083811
GR0083815
GR0083810
Identifier State
CA
CA
CA
CA
CA
CA
CA
CA
Identifier Issuer
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/09/2007