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Individual
DAN W. BOLTON III
Active
Individual
DAN W. BOLTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA,,DC, DO,JD, LLM
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
358
NV
209800000X
Legal Medicine (M.D./D.O.) Physician
358
NV
Other
Enumeration date
12/06/2005
Last updated
03/13/2013
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