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

SUSAN BOLOTIN

Active

SUSAN BOLOTIN is a Physician Assistant healthcare provider located in MESA, Arizona. NPI 1215321880 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MESA, AZ

Registration Details

NPI Number
1215321880
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2015 (11.386117837683 yrs)
Last Updated
Nov 25, 2022
Licenses
8261 (AZ)
085-005334 (IL)

Practice Information

Address
1810 S POWER RD
MESA, AZ, 852064303
Browse AZ providers · Browse ZIP 85206
Phone
4802140045
Fax
4809245844
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MESA, AZ

Name Credential NPI
MR. JOHN ANDREW NELSON P.A.-C 1992799662
CHRISTINE ANN CARY PA 1538155874
MELISSA CAROL GALLETTA PAC 1508841248
LAURIE GIACOLETTO PA-C 1477539138
RENEE M LITTLE PA 1205806122
MICHAEL DARREN JACKSON P.A. 1154394039
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.