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Individual
FRANK J. BOUTIN JR.
Active
Individual
FRANK J. BOUTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G63508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810354263
PHCS
CA
01
—
00G635080
BLUE SHIELD
CA
05
—
00G635080
—
CA
01
—
1049186
UNITED
CA
01
—
2262774
FIRST HEALTH
CA
01
—
35155
INTERPLAN
CA
01
—
3760246
CIGNA
CA
01
—
4272800
AETNA
CA
01
—
501694
HEALTH NET
CA
01
—
544409
GREAT WEST
CA
01
—
78505
FIRST HEALTH
CA
01
—
90022511
PACIFICARE
CA
01
—
G63508
BLUE CROSS
CA
01
—
MCMG167800
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
08/03/2006
Last updated
02/09/2012
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