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Jacob Bolz, PA-C
NPI 1386025682 · on the registry since 2015
Practice
- Address
- 12517 Lakeshore Dr
Lakeside, CA 92040 - Phone
- (619) 443-3843
- Organisation at this address
- Larry J Marshall Md A Professional Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California