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