Organization
STIVERS AND BOLTON, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BOLTON (DOCTOR)
(502) 897-6536
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR, SUITE 565, LOUISVILLE, KY 40207-4812
(502) 897-6536
(502) 895-6915
Mailing address
4010 DUPONT CIR, SUITE 565, LOUISVILLE, KY 40207-4812
(502) 897-6536
(502) 895-6915
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
200
KY
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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