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Russell Bouldin, R.P.T

NPI 1770551426 · on the registry since 2006

Practice

Address
9499 W Charleston Blvd
Suite 220
Las Vegas, NV 89117
Phone
(702) 933-9394
Fax
(702) 933-9395
Organisation at this address
S Safaei Pc
Smi Imaging Llc
Specialty Asc Llc
Specialty Asc Llc
Hardy Medical Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-21

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 Nevada