Whalio Doctors

NPI 1174184931

Jacob Allen Bolt, MD

Practitioner Emergency Medicine Physician Fort Smith, AR

Practice location

Address
1001 Towson Ave, Fort Smith, AR 72901-4921
Phone
(479) 441-5011
Fax
(479) 441-4932
Mailing address
11001 Executive Center Dr STE 200, Little Rock, AR 72211-4393

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence E-13356 (AR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence E-13356 (AR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2019022911 (MO)

Registry record

NPI
1174184931
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jun 2019
Record last updated
20 Dec 2022

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.