Individual
DOUGLAS BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
(319) 364-5684
Mailing address
PO BOX 2202, CEDAR RAPIDS, IA 52406-2202
(319) 364-0121
(319) 364-5684
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18759
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5302810
—
IA
Enumeration date
06/27/2005
Last updated
09/22/2011
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