Individual provider · Type 1 NPI

Mark Edwin Bolton, PhD, MD

Therapeutic Radiology Physician · Grand Island, NE

NPI number 1902999592 Active

Practice location

2116 W Faidley Ave., Department Of Radiation Therapy
Grand Island, NE 68802-9804

Call (308) 398-5450 Map

Fax (308) 398-5351

Specialties and licenses

TaxonomyCodeLicense
Therapeutic Radiology Physician Primary 2085R0203X18773 (NE)

Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

About NPI 1902999592

Mark Edwin Bolton, PhD, MD's National Provider Identifier is 1902999592, issued on Oct 2, 2006. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Grand Island, NE. The record was last updated on Jul 8, 2007.