DR. Robert J Boulware, MD

NPI #1801978259 in Liberty, Missouri

Provider Information

NPI Number: 1801978259
Entity Type: Individual
Name: DR. Robert J Boulware, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Oct 19, 2006
Last Updated: Jul 17, 2013

Practice Location

Address: 1131 W KANSAS ST
City: Liberty
State: Missouri
ZIP Code: 64068-2281
Phone: (816) 792-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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