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Contact Information

WALTER C BOUTWELL, MD
207 HUNTER TRL
PIKE ROAD, AL36064-3415
 Phone: 334-657-7198
 Fax: 334-272-4876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WALTER C BOUTWELL · (Male)

NPI # 1316908809
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2006
Last updated 08/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD-014439-E
  • CT Medicaid 001312743
  • MI Medicaid 4630520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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