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Individual
WILLIAM DAVID BOLTON
Active
Individual
WILLIAM DAVID BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
26988
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269881
—
SC
01
—
P01046673
RAILROAD MEDICARE
SC
Enumeration date
07/03/2007
Last updated
01/26/2018
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