Individual
FRANK J. BOUTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3333
(916) 733-5714
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
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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