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Justin Boutwell, PA
NPI 1861959017 · on the registry since 2019
Practice
- Address
- 145 Memorial Dr
Broken Bow, NE 68822 - Phone
- (308) 872-2486
- Fax
- (308) 872-2027
- Organisation at this address
- Central Nebraska Medical Clinic Pc
Jennie M Melham Memorial Medical Center
Jennie M Melham Memorial Medical Center
Jennie M Melham Memorial Medical Center
Jennie M Melham Memorial Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1316 Logan St, Holdrege, NE
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-19
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 Nebraska