Charles E Boult, MD
Charles E Boult, MD is a Geriatric Medicine (Internal Medicine) Physician in Boise, Idaho. Licensed in Idaho and Maryland. Registered with an NPI since 2006.
- Licensed in
- ID, MD
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5966 W Curtisian AveBoise, ID 83706
Phone: (208) 302-5400
Fax: (208) 302-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence M-13173 (ID) |
|---|---|
| Geriatric Medicine (Internal Medicine) Physician | Taxonomy 207RG0300X · Licence D57945 (MD) |
Record details
| NPI number | 1962468025 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 26, 2006 |
| Last updated in NPPES | May 23, 2016 |
| Mailing address | 3340 E Goldstone Way, Meridian, ID 83642-1026 |
Other providers in Boise
-
Dr. Barry Justin Cusack, MD
500 W Fort St (111), Boise, ID 83702-4598 · (208) 422-1000