Mark Boulware, M.D

NPI 1437375318 · on the registry since 2007

Practice

Address: 1400 E Boulder St
Suite 700
Colorado Springs, CO 80909
Phone: (719) 635-7172
Fax: (719) 444-3717
Organisation at this address: Uch-Mhs
Uch-Mhs
Uch-Mhs
Uch-Mhs
Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 621

Registry record

Primary taxonomy: 207RI0011X
207RI0011X
Also registered as: 207R00000X
207RC0000X
Licence states on file: NC, CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado