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NPI Profile for FREDERICK T BOULWARE in PHOENIX, AZ.
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Clinical Neurophysiology |
2084N0600X | 86 | Physician/Neuropsychiatry | |
Neuromuscular Medicine |
2084N0008X | 86 | Physician/Neuropsychiatry |
| NPI # | 1497733174 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 01/04/2006 | |
| Last updated | 09/18/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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FREDERICK T BOULWARE
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FREDERICK T BOULWARE, MD