Frederick Boulware, M.D

NPI 1497733174 · on the registry since 2006

Practice

Address: 2423 W Dunlap Ave
Ste 130
Phoenix, AZ 85021
Phone: (602) 424-4450
Fax: (602) 424-4451
Organisation at this address: Amdx, Ltd
One Tree Inc
Restassured Rx
Clinic Care Llc
19th Avenue Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Neurology Physician
2084N0400X
Also registered as: Clinical Neurophysiology Physician
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-09-18

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 Arizona