Individual provider · Type 1 NPI

Carlye Bolstad, PA-C

Medical Physician Assistant · Butte, MT

NPI number 1528362159 Active

Practice location

3703 Harrison Ave Ste B
Butte, MT 59701-6897

Fax (405) 565-5734

Other practice locations

  • 405 Saddle Dr, Helena, MT 59601-5632 · (406) 502-1355

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA159424 (OR)
Medical Physician Assistant Primary 363AM0700XMED-PAC-LIC-68538 (MT)

Medical Physician Assistant: Definition to come...

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About NPI 1528362159

Carlye Bolstad, PA-C's National Provider Identifier is 1528362159, issued on Dec 21, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Butte, MT. The record was last updated on Aug 29, 2019.