NPI 1235129388 · live from the CMS NPI Registry
Mark Alan Boles, M.D.
Radiology, Diagnostic Radiology in Greensboro, NC. National Provider Identifier 1235129388, active.
NPI record
| NPI | 1235129388 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1331 North Elm Street, Suite 200, Greensboro, NC 27401 |
| Practice phone | 336-274-9617 |
| Mailing address | Po Box 63112, Charlotte, NC 28263 |
| Enumerated | October 28, 2005 |
| Last updated | March 10, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 9700867 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.