NPI 1003076159 · live from the CMS NPI Registry
Evelyn Yoh Bolt, MD
Internal Medicine, Sleep Medicine in Broomfield, CO. National Provider Identifier 1003076159, active.
NPI record
| NPI | 1003076159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Sleep Medicine 207RS0012X |
| Practice location | 13654 Xavier Ln, Suite 201b, Broomfield, CO 80023 |
| Practice phone | 720-279-9098 |
| Mailing address | 686 Rockridge Dr, Lafayette, CO 80026 |
| Enumerated | June 12, 2008 |
| Last updated | May 10, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Pulmonary Disease | 207RP1001X | DR.0051870 (CO) |
| Internal Medicine, Sleep Medicine primary | 207RS0012X | DR.0051870 (CO) |
| Pediatrics, Sleep Medicine | 2080S0012X | DR.0051870 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.