Individual
KRISTIN BOULIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, LANE 154, STANFORD, CA, CA 94305-5133
(650) 723-6661
(650) 498-6205
Mailing address
300 PASTEUR DR, LANE 154, STANFORD, CA, CA 94305-5133
(650) 723-6661
(650) 498-6205
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A159238
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
11/03/2024
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