NPIRadar

Carlye Bolstad, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Butte, MT

NPI
1528362159
Type
Individual (Type 1)
Primary specialty
Medical Physician Assistant (Physician Assistant)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363AM0700X
License number
MED-PAC-LIC-68538 (MT)
Sex
Female
Sole proprietor
No
Enumerated
2010-12-21
Last updated
2019-08-29
Practice location
3703 Harrison Ave Ste B
Butte, MT 59701-6897
(406) 565-5730

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