Male or Other

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)

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

Provider Address

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