Individual
JAMES BOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKESA, CA 93546-0660
(760) 924-4084
(760) 934-7285
Mailing address
PO BOX 660, 85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 924-4084
(760) 934-7285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15845
CA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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