Individual
DANE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10663 MONTGOMERY RD, MONTGOMERY, OH 45242-4403
(513) 347-9999
Mailing address
10663 MONTGOMERY RD, MONTGOMERY, OH 45242-4403
(513) 347-9999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT016537
PA
Other
Enumeration date
04/07/2015
Last updated
06/08/2020
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