person
Dr. Mark Edwin Bolton, PHD,MD
Therapeutic Radiology Physician in Grand Island, Nebraska
NPI 1902999592

Mark Edwin Bolton is a Therapeutic Radiology Physician based in Grand Island, NE and is specialized in Therapeutic Radiology. Mark Edwin Bolton practices in Grand Island, NE and has the professional credentials of PHD,MD. The NPI Number for Mark Edwin Bolton is 1902999592 and holds a License No. 18773 (Nebraska).

The current practice location address for Mark Edwin Bolton is 2116 W Faidley Ave., Grand Island, NE and can be reached out via phone at 308-398-5450 and via fax at 308-398-5351. You can also correspond with Mark Edwin Bolton through the mailing address at 2116 W FAIDLEY AVE., GRAND ISLAND, NE - 68802-9804 (mailing address contact number: 308-398-5450).

Location: 2116 W Faidley Ave., Grand Island, NE, 68802-9804
person
Provider Profile Details
NPI Number
1902999592
Provider Name
Mark Edwin Bolton
Credential
PHD,MD
Provider Entity Type
Individual
Gender
Male
Address
2116 W Faidley Ave., Grand Island, NE, 68802-9804
Phone Number
308-398-5450
Fax Number
308-398-5351
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025024800 05 NE
institution
Provider Business Practice Location Address Details
Address
2116 W Faidley Ave.
City
State
Zip
68802-9804
Phone Number
308-398-5450
Fax Number
308-398-5351
person
Provider Business Mailing Address Details
Address
2116 W Faidley Ave.
City
State
Zip
68802-9804
Phone Number
308-398-5450
Fax Number
308-398-5351
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
18773 (Nebraska)
Definition
Definition to come...
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