Individual provider · Type 1 NPI

Rachel Boullion

Medical Physician Assistant · Glendale, AZ

NPI number 1639092463 Active

Practice location

5940 W Union Hills Dr Ste D100
Glendale, AZ 85308-1361

Call (602) 978-2500 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X11960 (AZ)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1639092463

Rachel Boullion's National Provider Identifier is 1639092463, issued on Jul 30, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glendale, AZ. The record was last updated on Jul 30, 2026.