JOSHUA BOULTER M.D. NPI 1245855667

NPI Information

Joshua Boulter, M.D. is a diagnostic radiology radiology in Southfield, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Joshua Boulter, M.D. NPI is 1245855667. 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:

2250 PROVIDENCE DRIVE
3PMB SUITE #301
SOUTHFIELD, MI
ZIP 48075-818
Phone: (248) 849-3281
Fax: (248) 849-5449

The NPI 1245855667 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/16/2020.

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:

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