CHARLES BOULT, MD

Geriatric Medicine (Internal Medicine) Physician · BOISE, ID

Individual Active NPI 1962468025

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Geriatric Medicine (Internal Medicine) Physician207RG0300XM-13173ID
Geriatric Medicine (Internal Medicine) Physician207RG0300XD57945MD

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.