Individual
PAUL CHRISTOPHER BOULWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16620 N 40TH ST STE E-1, PHOENIX, AZ 85032-3348
(602) 464-9576
(602) 626-8901
Mailing address
16620 N 40TH ST STE E1, PHOENIX, AZ 85032-3357
(602) 464-9576
(480) 428-0475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41726
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435556
—
AZ
Enumeration date
01/30/2007
Last updated
05/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us