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Individual
DR. TRAVIS L BOLTON JR.
Active
Individual
DR. TRAVIS L BOLTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2017-0672
NM
208M00000X
Hospitalist Physician
Primary
MD2017-0672
NM
Other
Enumeration date
12/09/2005
Last updated
07/21/2022
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