Most Relevant Information
Provider Data
| NPI Number: | 1003313107 |
| Provider Name: | CAITLIN MARIE BOLENDER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 11405399-1205 |
Most Important Dates
| Enumeration Date: | 04/06/2018 |
| Last Updated: | 09/11/2019 |
Provider Practice Location
30 N 1900 E RM 4A330
SALT LAKE CITY
UT
841320002
Practice Location Phone/Fax
| Phone: | 8015815509 |
| Fax: |
Provider Mailing Location
30 N 1900 E RM 4A330
SALT LAKE CITY
UT
841320002
Provider Mailing Phone/Fax
| Phone: | 8015815509 |
| Fax: |