NPI 1356886584

Meredith Storm Bolt, PA

Practitioner Physician Assistant Bethany, OK

Practice location

Address: 2701 N Rockwell Ave, Bethany, OK 73008-5246
Phone: (405) 789-4150

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2714 (OK)

Other Physician Assistant providers in Oklahoma →

Registry record

NPI: 1356886584
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2016
Record last updated: 11 Jul 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.