Individual
EVELYN YOH BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13654 XAVIER LN, SUITE 201B, BROOMFIELD, CO 80023-3606
(720) 279-9098
(720) 540-4250
Mailing address
686 ROCKRIDGE DR, LAFAYETTE, CO 80026-8701
(773) 742-1899
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
DR.0051870
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
DR.0051870
CO
2080S0012X
Pediatric Sleep Medicine Physician
DR.0051870
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370941YWN5
MEDICARE PTAN
CO
Enumeration date
06/12/2008
Last updated
05/10/2017
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