Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALTER CLARK BOUTWELL, MD
Active Sole ProprietorDR. WALTER CLARK BOUTWELL, MD is a Neonatal-Perinatal Medicine healthcare provider located in PIKE ROAD, Alabama. NPI 1316908809 is currently active in the NPPES registry. Verify at CMS.
Neonatal-Perinatal Medicine · PIKE ROAD, AL
Registration Details
- NPI Number
- 1316908809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2006 (20.398014392293 yrs)
- Last Updated
- Aug 28, 2012
- License
-
MD-014439-E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
207 HUNTER TRLPIKE ROAD, AL, 360643415Browse AL providers · Browse ZIP 36064
- Phone
- 3346577198
- Fax
- 3342724876
- Primary Specialty
-
Neonatal-Perinatal Medicine
2080N0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.