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

Frederick Thornton Boulware, MD

Individual provider Neurology Physician · NPI 1497733174

Frederick Thornton Boulware, MD is a Neurology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2423 W Dunlap Ave Ste 130
Phoenix, AZ 85021-5818
Phone: (602) 424-4450
Fax: (602) 424-4451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 37701 (AZ)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 37701 (AZ)
Neuromuscular Medicine (Psychiatry & Neurology) Physician Taxonomy 2084N0008X · Licence 37701 (AZ)

Record details

NPI number1497733174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESSeptember 18, 2012
Mailing address2423 W Dunlap Ave, Ste 130, Phoenix, AZ 85021-5818

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