Individual
CARRIE E BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1700
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7251
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-120944
OH
2085R0202X
Diagnostic Radiology Physician
4301090021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075667
—
OH
Enumeration date
11/18/2009
Last updated
12/24/2015
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