Individual
JASON D. BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11 S PACA ST, SUITE 500, BALTIMORE, MD 21201-1791
(410) 328-7030
(410) 328-7030
Mailing address
11 S PACA ST, SUITE 500, BALTIMORE, MD 21201-1791
(410) 328-7030
(410) 328-7030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R173732
MD
Other
Enumeration date
09/06/2006
Last updated
07/03/2008
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