Individual
DR. ANDREW J BOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
62 W 7TH AVE STE 320, SPOKANE, WA 99204-2321
(509) 455-8820
(509) 838-4978
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD28359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003212600
—
ID
Enumeration date
05/25/2006
Last updated
01/16/2026
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