Individual
MARK JAMES BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5000
Mailing address
8703 BELWORTH SQ, NEW ALBANY, OH 43054-9074
(614) 313-6112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
69133
OH
207Q00000X
Family Medicine Physician
69133
OH
208D00000X
General Practice Physician
Primary
69133
OH
Other
Enumeration date
07/28/2005
Last updated
04/12/2016
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