Individual provider · Type 1 NPI
Jose Antonio Bouffard, MD
Nuclear Imaging & Therapy Physician · Detroit, MI
NPI number
1043388788
Active
Practice location
261 Mack Ave, Room 215
Detroit, MI 48201-2417
Fax (313) 993-2630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Imaging & Therapy Physician Primary | 207UN0902X | 4301044748 (MI) |
Nuclear Imaging & Therapy Physician: A nuclear medicine physician who specializes in nuclear imaging and therapy.
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About NPI 1043388788
Jose Antonio Bouffard, MD's National Provider Identifier is 1043388788, issued on Dec 1, 2006. The primary taxonomy on file is Nuclear Imaging & Therapy Physician (207UN0902X), and the practice location is in Detroit, MI. The record was last updated on Sep 8, 2014.