Organization
MICHAEL E. BOLT, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD BOLT M.D. (OWNER)
(620) 421-6767
Entity
Organization
Contact information
Practice address
2410 MAIN ST, SUITE B, PARSONS, KS 67357-2747
(620) 421-6767
(620) 421-6766
Mailing address
2410 MAIN ST, SUITE B, PARSONS, KS 67357-2747
(620) 421-6767
(620) 421-6766
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200362160A
—
KS
Enumeration date
02/24/2009
Last updated
02/24/2009
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