Individual
DR. JEFFREY DAVID BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 399-6000
(520) 399-6002
Mailing address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 399-6000
(520) 399-6002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301006540
MI
111N00000X
Chiropractor
Primary
8688
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590722
—
AZ
Enumeration date
04/22/2006
Last updated
10/21/2021
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