Whalio Doctors

NPI 1194065730

Russell Bolton Harmony, NP

Practitioner Interventional Pain Medicine Physician Meridian, ID

Practice location

Address
1859 S Topaz Way STE 106, Meridian, ID 83642-4401
Phone
(208) 672-4640
Fax
(208) 957-6300
Mailing address
6140 W Curtisian Ave STE 400, Boise, ID 83704-8907

Registered specialties (4)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence NP-1275A (ID)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 774657 (CA)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 21853 (CA)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence NP-1275A (ID)

Registry record

NPI
1194065730
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Feb 2013
Record last updated
10 Sep 2024

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.