| Daniel John Bolster, MD | |
|
1325 Cottonwood St, Woodland, CA 95695-5131 | |
| (530) 662-3961 | |
| (916) 419-5442 |
| Full Name | Daniel John Bolster |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1325 Cottonwood St, Woodland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861555732 | NPI | - | NPPES |
| 00A507630 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A50763 (California) | Primary |
| Entity Name | Woodland Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881868164 PECOS PAC ID: 8921176785 Enrollment ID: O20081007000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel John Bolster, MD Po Box 660160, Arcadia, CA 91066-0160 Ph: (626) 447-0296 | Daniel John Bolster, MD 1325 Cottonwood St, Woodland, CA 95695-5131 Ph: (530) 662-3961 |
Emmanuel Mugabo Rutazihana, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1264 E Gibson Rd Ste E500, Woodland, CA 95776 Phone: 530-574-4406 | |
Dr. Jessica M Chabot, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 239 W Court St, Woodland, CA 95695 Phone: 530-668-2656 Fax: 530-662-4527 | |
Dr. Daniel Carter, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 530-662-3961 |