Individual
NANCY S BOUTIN
Active
Individual
NANCY S BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
Primary
MD13924
OR
2085R0001X
Radiation Oncology Physician
MD13924
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004650
—
OR
Enumeration date
07/27/2006
Last updated
02/17/2020
Update your record
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