Carlye Bolstad, PA-C
Physician Assistant, Medical in Butte, MT. Individual provider (NPI-1).
NPI number1528362159
StatusActive
Last updated in NPPESAug 29, 2019
Details
- NPI
- 1528362159
- Entity type
- Individual (NPI-1)
- Name
- Carlye Bolstad
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2010
- Last updated
- Aug 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MED-PAC-LIC-68538 | MT | Yes |
| 363AM0700X | Physician Assistant, Medical | PA159424 | OR |
Practice location
3703 Harrison Ave Ste BButte, MT 59701-6897
Phone 406-565-5730 · Fax 405-565-5734
Mailing address
3703 Harrison Ave Ste BButte, MT 59701-6897
Phone 406-565-5730 · Fax 406-565-5734
Other practice locations
405 Saddle Dr
Helena, MT 59601-5632
Helena, MT 59601-5632
Phone 406-502-1355 · Fax 406-206-0304
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All 5 Medical Physician Assistant providers in Butte · All 1,051 providers in Butte
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