Individual
CASSI BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(602) 528-1200
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001011
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
08/05/2021
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