Individual
MRS. DONNA MARIE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10777 COUNTY ROAD 107, PROCTORVILLE, OH 45669-8130
(740) 302-0541
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-4858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38597
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550503
ANTHEM BCBS
KY
01
—
00000328135
ANTHEM BC/BS
KY
05
—
3418539
—
OH
05
—
64066384
—
KY
Enumeration date
06/08/2005
Last updated
04/08/2025
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