Search › Arizona › 1223G0001X
Brock Boudreaux, DMD
NPI 1861016966 · on the registry since 2020
Practice
- Address
- 8401 E 22nd St
Tucson, AZ 85710 - Phone
- (520) 885-5746
- Clinicians at this address
- 2
Additional practice sites
- 899 N Wilmot Rd # 2, Tucson, AZ
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-03
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