Individual
DANIEL JOHN BOLSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 662-3961
(916) 419-5442
Mailing address
PO BOX 660160, ARCADIA, CA 91066-0160
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A50763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A507630
—
CA
Enumeration date
12/19/2006
Last updated
06/23/2008
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