IndividualActive
Mark Bolton, PH.D., M.D.
NPI 1902999592 · Therapeutic Radiology Physician · Grand Island, NE
Provider details
- NPI number
- 1902999592
- Entity type
- Individual
- Primary specialty
- Therapeutic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PH.D., M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18773 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2116 W Faidley Ave.
Department of Radiation Therapy
Grand Island, NE 68802-9804
Phone: (308) 398-5450
Fax: (308) 398-5351
Approximate (ZIP-level) locationGet directions
Mailing address
2116 W Faidley Ave.
Grand Island, NE 68802-9804
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.