Dr. JONATHAN PETER BOLTAX MD
Individual Provider (NPI-1)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1629023692- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 555 E BROADWAY AVE STE 220, JACKSON, WY, 830018640
- Phone
- (307) 739-7305
- Fax
- (307) 739-4960
Specialties & Taxonomies
Internal Medicine, Pulmonary Disease
Primary License: WY #9935A