Anthony B. Bolden is a Surgical in Goodyear, Arizona. Anthony B. Bolden practices all healthcare services and medical treatments related to Surgical. The NPI Number for Anthony B. Bolden is 1518020056. The last update date is 2016-09-20.
Anthony B. Bolden's current location address is 14200 W Celebrate Life Way, Goodyear, Arizona. You can contact this provider via phone number 6232073024 and fax number 6239328595. The mailing address for Anthony B. Bolden is 14200 W Celebrate Life Way, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony B. Bolden |
|---|---|
| Address | 14200 W Celebrate Life Way, Goodyear, Arizona |
| Phone Number | 6232073024 |
| Fax Number | 6239328595 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1518020056 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2016-09-20 |
Provider Mailing Address Detail
| Address | 14200 W Celebrate Life Way |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853383007 |
| Phone Number | 6232073024 |
| Fax Number | 6239328595 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 3537 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210296 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Anthony B. Bolden by the Centers for Medicare & Medicaid Services (CMS)?
The Anthony B. Bolden has been assigned the NPI (National Provider Identifier) 1518020056. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Anthony B. Bolden's facilities are geographically located?
The facilities of Anthony B. Bolden are physically situated at the following location: 14200 W Celebrate Life Way, Goodyear, AZ, 853383007.
What is the Anthony B. Bolden's specialty and taxonomy code?
The Anthony B. Bolden's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
When was the Anthony B. Bolden's 1518020056 issued?
The Anthony B. Bolden's 1518020056 was issued on 2006-12-18.
As of what date were the details related to Anthony B. Bolden most recently updated or revised?
The information pertaining to Anthony B. Bolden, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-20.
NPI Number: 1972506228
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