James Randall Bolton in Davenport - Clinical
James Randall Bolton - NPI 1053452243
James Randall Bolton is a Clinical in Davenport, Iowa. James Randall Bolton practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Randall Bolton is 1053452243. The last update date is 2008-06-20.
James Randall Bolton's current location address is 1441 W Central Park Ave, Davenport, Iowa. You can contact this provider via phone number 5638886275 and fax number 5638844638. The mailing address for James Randall Bolton is 1441 W Central Park Ave, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Randall Bolton |
|---|---|
| Address | 1441 W Central Park Ave, Davenport, Iowa |
| Phone Number | 5638886275 |
| Fax Number | 5638844638 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1053452243 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 1441 W Central Park Ave |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528041707 |
| Phone Number | 5638886275 |
| Fax Number | 5638844638 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 37 |
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What is the unique identifier code issued to James Randall Bolton by the Centers for Medicare & Medicaid Services?
The James Randall Bolton has been assigned the NPI (National Provider Identifier) 1053452243. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Randall Bolton?
The James Randall Bolton is situated at 1441 W Central Park Ave, in the city of Davenport, state of IA, with the zip code 528041707.
What is the James Randall Bolton's area of specialization and corresponding taxonomy classification?
The James Randall Bolton's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the James Randall Bolton receive its 1053452243?
The James Randall Bolton was issued its 1053452243 on 2007-02-09, which is the date when the organization was assigned this unique identifier.
As of what date were the James Randall Bolton's details last updated?
The information pertaining to the James Randall Bolton, including its address, specialty, and other details, was most recently updated on 2008-06-20.
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