Individual
CANDACE BOULER ANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, DEPARMENT OF INTERNAL MEDICINE, WINSTON SALEM, NC 27157-0001
(336) 716-3182
Mailing address
MEDICAL CENTER BLVD, DEPARMENT OF INTERNAL MEDICINE, WINSTON SALEM, NC 27157-0001
(336) 716-3182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
390200000X
NC
Other
Enumeration date
11/19/2007
Last updated
11/13/2008
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