Individual
DR. JASON ALAN BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-6415
Mailing address
4345 N WALNUT RD, TURLOCK, CA 95382-9679
(256) 770-9343
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001182
CA
Other
Enumeration date
09/05/2019
Last updated
12/30/2021
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