Physician Assistant
SUSAN BOLOTIN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1215321880 · enumerated 2015-03-23 · record updated 2022-11-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1810 S POWER RD, MESA, AZ, 85206-4303 (480) 214-0045 Fax (480) 924-5844 Google Maps Apple Maps OpenStreetMap
- Mailing address 1810 S POWER RD, MESA, AZ, 85206-4303 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 8261 AZ
- Physician Assistant 363A00000X · License 085-005334 IL
In this directory
Locations and evidence
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Practice location
MESA, AZ, 852064303
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.