Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulware Medical Clinic LLC

Organization Internal Medicine Physician · NPI 1548462799

Boulware Medical Clinic LLC is an Internal Medicine Physician in Liberty, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1131 W Kansas St
Liberty, MO 64068-2281
Phone: (816) 792-5577
Fax: (816) 792-5141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (MO)

Record details

NPI number1548462799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Boulware — Dr. · (816) 792-5577
NPI enumeratedJune 1, 2007
Last updated in NPPESJuly 27, 2007
Mailing address1131 W Kansas St, Liberty, MO 64068-2281

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