Individual
ANTHONY B. BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3024
(623) 932-8595
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3024
(623) 932-8595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3537
AZ
363AS0400X
Surgical Physician Assistant
Primary
3537
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210296
—
AZ
Enumeration date
12/18/2006
Last updated
09/20/2016
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