Individual
DR. RYSCHELL RENEE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(817) 689-5523
Mailing address
11217 N OAKWOOD DR, UNIT 57, PEORIA, IL 61615-1038
(817) 689-5523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.052729
IL
Other
Enumeration date
07/13/2007
Last updated
04/24/2013
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