Individual
ANTHONY A BOULDIN
Active
Individual
ANTHONY A BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00042649
WA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD00042649
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00042649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262640
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8369795
—
WA
Enumeration date
10/17/2006
Last updated
03/17/2018
Update your record
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