SearchLouisiana172V00000X

Barry Bolton

NPI 1871942888 · on the registry since 2016 · sole proprietor

Practice

Address
712b Louisiana Ave
Bogalusa, LA 70427
Phone
(985) 750-4511
Fax
(985) 732-1095

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana