Individual
STEVEN P BOUTRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5454
Mailing address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16029
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087917
—
NH
Enumeration date
05/04/2010
Last updated
10/17/2013
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