Individual provider · Type 1 NPI

Frederick Thornton Boulware, MD

Neurology Physician · Phoenix, AZ

NPI number 1497733174 Active

Practice location

2423 W Dunlap Ave, Ste 130
Phoenix, AZ 85021-5818

Fax (602) 424-4451

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X37701 (AZ)
Clinical Neurophysiology Physician 2084N0600X37701 (AZ)
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X37701 (AZ)

Neurology Physician: 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.

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About NPI 1497733174

Frederick Thornton Boulware, MD's National Provider Identifier is 1497733174, issued on Jan 4, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 18, 2012.