Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Deane Bolton, MD

Individual provider Pediatrics Physician · NPI 1063738631

Robert Deane Bolton, MD is a Pediatrics Physician in Fairchild AFB, Washington. Licensed in Indiana and New Mexico. Registered with an NPI since 2010.

Licensed in
IN, NM
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Hospital Loop
Fairchild AFB, WA 99011-8704
Phone: (509) 247-9043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD2013-0296 (NM)
Pediatrics Physician Taxonomy 208000000X · Licence 1063738631 (IN)

Record details

NPI number1063738631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2010
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing addressLandstuhl Regional Medical Center Unit 33100, Apo, AE 09180-3100

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