Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES E BOULT, MD
ActiveCHARLES E BOULT, MD is a Gastroenterology healthcare provider located in BOISE, Idaho. NPI 1962468025 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · BOISE, ID
Registration Details
- NPI Number
- 1962468025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.322947635161 yrs)
- Last Updated
- May 23, 2016
- Licenses
-
D57945 (MD)M-13173 (ID)
Practice Information
- Address
-
5966 W CURTISIAN AVEBOISE, ID, 83706Browse ID providers · Browse ZIP 83706
- Phone
- 2083025400
- Fax
- 2083025455
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES ERWIN BRANAHL | M.D. | 1932116423 |
| DR. BARRY JUSTIN CUSACK | MD | 1720187289 |
| CAITLIN MOHR | M.D. | 1346535952 |
| ALEXANDRA NICOLE MEIER | M.D. | 1619234622 |
| KARA MACKENZIE KUNTZ | MD | 1891057246 |
| DR. CAITLIN KINAHAN | MD | 1376938076 |
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.