Shane Bolton

Practice location

Address

1450 Peterman Dr STE a, Alexandria, LA 71301-3432

Phone

(318) 473-4328

Registered specialties

Registry record

NPI

1003368457

Entity type

Individual

Sex (as registered)

Female

NPI issued

2 Nov 2016

Record last updated

2 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.