Rida W Boulos, MD

NPI #1114991577 in Peoria, Illinois

Provider Information

NPI Number: 1114991577
Entity Type: Individual
Name: Rida W Boulos, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Feb 14, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: DEPT OF OB / GYN
Address 2: 530 NE GLEN OAK
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 655-3024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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