Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EDWIN BOLTON, PH.D., M.D.
Active Sole ProprietorDR. MARK EDWIN BOLTON, PH.D., M.D. is a 2085R0203X healthcare provider located in GRAND ISLAND, Nebraska. NPI 1902999592 is currently active in the NPPES registry. Verify at CMS.
2085R0203X · GRAND ISLAND, NE
Registration Details
- NPI Number
- 1902999592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.855542184514 yrs)
- Last Updated
- Jul 8, 2007
- License
-
18773 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2116 W FAIDLEY AVE.DEPARTMENT OF RADIATION THERAPYGRAND ISLAND, NE, 688029804Browse NE providers · Browse ZIP 68802
- Phone
- 3083985450
- Fax
- 3083985351
- Primary Specialty
-
2085R0203X
2085R0203X
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.