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

Susan Bolotin

Individual provider Physician Assistant · NPI 1215321880

Susan Bolotin is a Physician Assistant in Mesa, Arizona. Licensed in Arizona and Illinois. Registered with an NPI since 2015.

Licensed in
AZ, IL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1810 S Power Rd
Mesa, AZ 85206-4303
Phone: (480) 214-0045
Fax: (480) 924-5844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8261 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 085-005334 (IL)

Record details

NPI number1215321880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESNovember 25, 2022
Certification dateNovember 25, 2022

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