Dr JEROME DORIAN BOLTZ is a male medical professional, specializing in Nurse Practitioner. He graduated in 1996.
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM
NC
271570001
Tel: 3367162734
| Npi | 1578510384 |
| Pac Id | 2062683766 |
| Professional Enrollment Id | I20110928000473 |
| Last Name | BOLTZ |
| First Name | JEROME |
| Middle Name | DORIAN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Group Practice Pac Id | 4486564952 |
| Number Of Group Practice Members | 1719 |
| Line 1 Street Address | MEDICAL CTR BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 271570001 |
| Phone Number | 3367162734 |
| Hospital Affiliation Ccn 1 | 340047 |
| Hospital Affiliation Lbn 1 | NORTH CAROLINA BAPTIST HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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