William T Boulware MD

NPI 1023190493 - Internal Medicine - 207R00000X

NPI Details
NPI 1023190493
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1131 W KANSAS ST
LIBERTY MO, 64068-2281, US
Phone (816) 792-5577
Fax
Business Location
1131 W KANSAS ST
LIBERTY MO, 64068-2281, US
Phone (816) 792-5577
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number R6E21
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According to our database, Dr. William T Boulware MD NPI is 1023190493, taxonomy code is 207R00000X and license number is R6E21, license state is located at Missouri. William T Boulware MD physically located at 1131 W Kansas St, Liberty MO, 64068-2281. NPI Number William T Boulware MD has the Individual type.

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1023190493 NPI number is provided on an as is basis without warranty of any kind. 1023190493 is maintained by the National Plan & Provider Enumeration System. The contents of William T Boulware MD are for informational purposes only.