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Individual

DR. JOHN E. BOULET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1714 W ANKLAM RD, SUITE 104, TUCSON, AZ 85745-2689
(520) 838-3540
(520) 325-3526
Mailing address
3709 N CAMPBELL AVE STE 201, TUCSON, AZ 85719-1563
(520) 838-2128
(520) 838-2260

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12754
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
248931
AZ
Enumeration date
01/03/2006
Last updated
05/07/2018
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