Individual provider · Type 1 NPI

James M. Bolanos, PA-C

Surgical Physician Assistant · Wenatchee, WA

NPI number 1811077332 Active

Practice location

520 N Chelan Ave
Wenatchee, WA 98801-6697

Fax (509) 662-8756

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10002147 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1811077332

James M. Bolanos, PA-C's National Provider Identifier is 1811077332, issued on Oct 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wenatchee, WA. The record was last updated on Jul 14, 2015.