Mark James Bolton, M.D.
General Practice in Columbus, OH. Individual provider (NPI-1).
NPI number1790785152
StatusActive
Last updated in NPPESApr 12, 2016
Details
- NPI
- 1790785152
- Entity type
- Individual (NPI-1)
- Name
- Mark James Bolton
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2005
- Last updated
- Apr 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 69133 | OH | Yes |
| 207P00000X | Emergency Medicine | 69133 | OH | |
| 207Q00000X | Family Medicine | 69133 | OH |
Practice location
420 N James RdColumbus, OH 43219-1834
Phone 614-257-5000
Mailing address
8703 Belworth SqNew Albany, OH 43054-9074
Phone 614-313-6112
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