Individual
BRANDON LEE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
16251 N CAVE CREEK RD, PHOENIX, AZ 85032-2976
(480) 882-4545
Mailing address
8125 N HAYDEN RD, SCOTTSDALE, AZ 85258-2463
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86079130
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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