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NPI Profile for Dr MARK E BOLTON in GRAND ISLAND, NE.
January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0203X |
| NPI # | 1902999592 |
|
| Status | Active | |
| Credentials | PH.D., M.D. | |
| Entity | Individual | |
| Enumeration date | 10/02/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARK E BOLTON
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MARK E BOLTON, PH.D., M.D.