Dr DEREK BRANDON BOLT is a male medical professional, specializing in Osteopathic Manipulative Medicine. He graduated in 2016 from Oklahoma College Of Osteopathic Medicine And Surgery.
CHEROKEE NATION
100 S BLISS AVE
TAHLEQUAH
OK
744642512
Tel: 9184583100
| Npi | 1881147882 |
| Pac Id | 3072887447 |
| Professional Enrollment Id | I20171115002560 |
| Last Name | BOLT |
| First Name | DEREK |
| Middle Name | BRANDON |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2016 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
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| Organization Legal Name | CHEROKEE NATION |
| Group Practice Pac Id | 5799698742 |
| Number Of Group Practice Members | 274 |
| Line 1 Street Address | 100 S BLISS AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 744642512 |
| Phone Number | 9184583100 |
| Hospital Affiliation Ccn 1 | 370171 |
| Hospital Affiliation Lbn 1 | CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 371328 |
| Hospital Affiliation Lbn 2 | ARBUCKLE MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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