Individual
NOUR BOULAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 274-8335
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-43585
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308470A
—
KS
Enumeration date
03/21/2017
Last updated
12/02/2020
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