Renee L Boulicault in Columbia - Obstetrics & Gynecology
Renee L Boulicault - NPI 1639148422
Renee L Boulicault is a Obstetrics & Gynecology in Columbia, Missouri. Renee L Boulicault practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Renee L Boulicault is 1639148422. The last update date is 2007-07-08.
Renee L Boulicault's current location address is 1601 E Broadway, Columbia, Missouri. You can contact this provider via phone number 5734438796 and fax number 5738753949. The mailing address for Renee L Boulicault is 1601 E Broadway, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee L Boulicault |
|---|---|
| Address | 1601 E Broadway, Columbia, Missouri |
| Phone Number | 5734438796 |
| Fax Number | 5738753949 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639148422 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1601 E Broadway |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652018020 |
| Phone Number | 5734438796 |
| Fax Number | 5738753949 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 103629 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the unique 10-digit identifier code assigned to Renee L Boulicault by the Centers for Medicare & Medicaid Services?
The Renee L Boulicault has been issued the NPI (National Provider Identifier) 1639148422 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Renee L Boulicault located?
The Renee L Boulicault is located at 1601 E Broadway, Columbia, MO 652018020.
What is Renee L Boulicault's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Renee L Boulicault is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.
On what date did Renee L Boulicault receive its 1639148422 assignment from the Centers for Medicare & Medicaid Services?
The Renee L Boulicault was assigned its 1639148422 on 2006-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Renee L Boulicault most recently updated or revised?
The information pertaining to Renee L Boulicault, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC