DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL BOLTON HARMONY, NP

Active

Interventional Vascular Surgery · MERIDIAN, ID

Registration Details

NPI Number
1194065730
Provider Type
Individual
Gender
Male
NPI Issued
Feb 19, 2013 (13.166816782672 yrs)
Last Updated
Sep 10, 2024
Licenses
774657 (CA)
21853 (CA)
NP-1275A (ID)
NP-1275A (ID)

Practice Information

Address
1859 S TOPAZ WAY STE 106
MERIDIAN, ID, 836424401
Browse ID providers · Browse ZIP 83642
Phone
2086724640
Fax
2089576300
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Interventional Vascular Surgery Providers in MERIDIAN, ID

Name Credential NPI
MR. SHANE A MAXWELL D.O. 1508825456
KARL ZARSE MD 1982633889
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.