Individual
DR. MARY GABRIELLE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
9730 3RD AVE NE STE 208, SEATTLE, WA 98115-2023
(206) 522-5646
(888) 972-4693
Mailing address
25707 SE 30TH ST, SAMMAMISH, WA 98075-9176
(206) 718-3868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00045876
WA
207RX0202X
Medical Oncology Physician
MD00045876
WA
Other
Enumeration date
04/08/2013
Last updated
09/18/2018
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