Robert Deane Bolton, MD is a
Pediatrics physician based in Fairchild Afb, Washington. Robert Deane Bolton is licensed to practice in New Mexico (license number MD2013-0296) and his current practice location is 701 Hospital Loop, Fairchild Afb, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 247-9043.
NPI number for Robert Deane Bolton is 1063738631 and his current mailing address is Landstuhl Regional Medical Center Unit 33100, Apo, Armed Forces Europe. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063738631.
Physician's Profile
Full Name | Robert Deane Bolton |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 701 Hospital Loop, Fairchild Afb, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063738631
- Provider Enumeration Date: 04/07/2010
- Last Update Date: 08/11/2023
Medical Identifiers
Medical identifiers for Robert Deane Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063738631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 1063738631 (Indiana) | Secondary |
208000000X | Pediatrics | MD2013-0296 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Deane Bolton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Deane Bolton, MD Landstuhl Regional Medical Center Unit 33100, Apo, AE 09180-3100 Ph: (314) 590-7700 | Robert Deane Bolton, MD 701 Hospital Loop, Fairchild Afb, WA 99011-8704 Ph: (509) 247-9043 |
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