DR. Nidal Boutros

NPI #1629036173 in Lebanon, Missouri

Provider Information

NPI Number: 1629036173
Entity Type: Individual
Name: DR. Nidal Boutros
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: May 3, 2006
Last Updated: Feb 10, 2022

Practice Location

Address: 120 HOSPITAL DR
Address 2: SUITE 300
City: Lebanon
State: Missouri
ZIP Code: 65536-9238
Phone: (417) 533-6746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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