Individual
DR. JONATHAN W. BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF PSYCHIATRY, 2400 TUCKER, NE., MSC09 5030, ALBUQUERQUE, NM 87131-0001
(505) 272-3966
(505) 272-4639
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2007-0142
NM
Other
Enumeration date
02/26/2007
Last updated
01/13/2025
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