Individual provider · Type 1 NPI
Charles E. Boult, MD
Geriatric Medicine (Internal Medicine) Physician · Boise, ID
Practice location
5966 W Curtisian Ave
Boise, ID 83706
Fax (208) 302-5455
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | D57945 (MD) |
| Geriatric Medicine (Internal Medicine) Physician Primary | 207RG0300X | M-13173 (ID) |
Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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About NPI 1962468025
Charles E. Boult, MD's National Provider Identifier is 1962468025, issued on Apr 26, 2006. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Boise, ID. The record was last updated on May 23, 2016.