JONATHAN W BOLTON MD

UNM MEDICAL GROUP INC

Dr JONATHAN W BOLTON MD is a male medical professional, specializing in Psychiatry. He graduated in 1994 from Michigan State University College Of Human Medicine.

Contact

UNM MEDICAL GROUP INC

2211 LOMAS BLVD NE
ALBUQUERQUE
NM
871062745

Tel: 5052722111

JONATHAN W BOLTON MD Information

Npi 1164558854
Pac Id 6406952787
Professional Enrollment Id I20081003000478
Last Name BOLTON
First Name JONATHAN
Middle Name W
Suffix
Gender M
Credential MD
Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year 1994
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNM MEDICAL GROUP INC
Group Practice Pac Id 4981795267
Number Of Group Practice Members 851
Line 1 Street Address 2211 LOMAS BLVD NE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALBUQUERQUE
State NM
Zip Code 871062745
Phone Number 5052722111
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Professional Accepts Medicare Assignment Y

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