DR. JOHN E. BOULET MD NPI 1053399881

NPI Information

NPI: 1053399881
Provider Name: DR. JOHN E. BOULET, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1714 W ANKLAM RD
SUITE 104
TUCSON, AZ
ZIP 85745
Phone: (520) 838-3540
Get Directions

DR. John E. Boulet, MD is a cardiovascular disease internal medicine in Tucson, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. John E. Boulet, MD NPI is 1053399881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1714 W ANKLAM RD
SUITE 104
TUCSON, AZ
ZIP 85745-689
Phone: (520) 838-3540
Fax: (520) 325-3526

The enumeration date for this NPI number is 1/3/2006 and was last updated on 5/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	12754	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	248931	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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