Individual
DR. CHESTER MCBRIDE BOLTWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4603 DALE RD, KAISER PERMANENTE MEDICAL OFFICES, MODESTO, CA 95357-7680
(209) 735-4287
(209) 735-4283
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-4287
(209) 735-4283
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G35042
CA
207RI0011X
Interventional Cardiology Physician
Primary
G35042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ76734Z
—
CA
Enumeration date
06/13/2006
Last updated
12/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us