John A Boullier, MD | |
1155 W Parkview, Suite 2c, Bolivar, MO 65613-7800 | |
(417) 326-2550 | |
(417) 326-2552 |
Full Name | John A Boullier |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1155 W Parkview, Bolivar, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841394459 | NPI | - | NPPES |
P00477605 | Other | MO | PALMETTO GBA RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | R2K10 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
John A Boullier, MD 1500 N Oakland Ave, Bolivar, MO 65613-3099 Ph: (417) 328-6501 | John A Boullier, MD 1155 W Parkview, Suite 2c, Bolivar, MO 65613-7800 Ph: (417) 326-2550 |
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