Frederick Thornton Boulware is a Phoenix, Arizona based neurologist with 59 years of experience in Neurology. He completed his graduation from Meharry Medical College School Of Medicine in 1965. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Frederick Thornton Boulware is 37701 for Neurology in Arizona. His current practice location is 2423 W Dunlap Ave, Ste 130, Phoenix. Patients can reach him at 602-424-4450 or can fax him at 602-424-4451. Frederick Thornton Boulware is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1497733174. Frederick Thornton Boulware specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Frederick Thornton Boulware speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Frederick Thornton Boulware
Specialization:
Neurology
Gender:
Male
Credentials:
M.D.
Experience:
59+ years
Medical School Attended:
Meharry Medical College School Of Medicine
Graduation Year:
1965
Accepts Medicare Assignment:
Yes
Practice Address:
2423 W Dunlap Ave, Ste 130, Phoenix, Arizona, 85021-5818
Phone:
602-424-4450
Fax:
602-424-4451
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496847162
Enrollment ID:
I20100910000553
NPI Number:
1497733174
NPI Enumeration Date:
04 Jan, 2006
NPI Last Update On:
18 Sep, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Frederick Thornton Boulware are as mentioned below.
License Number
Specialization
State
Status
37701
Neurology
Arizona
Primary
37701
Clinical Neurophysiology
Arizona
Secondary
37701
Neuromuscular Medicine
Arizona
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Frederick Thornton Boulware is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Amdx, Ltd. (6305841826)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Frederick Thornton Boulware such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
002002038
Medicaid
Nevada
100500484
Medicaid
Nevada
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Frederick Thornton Boulware 2423 W Dunlap Ave, Ste 130 Phoenix, Arizona
Zip:
85021-5818
Phone Number:
602-424-4450
Fax Number:
602-424-4451
Patients can reach Frederick Thornton Boulware at 2423 W Dunlap Ave, Ste 130, Phoenix, Arizona or can call to book an appointment on 602-424-4450.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.