Walter Clark Boutwell in Pike Road - Neonatal-perinatal Medicine
Walter Clark Boutwell - NPI 1316908809
Walter Clark Boutwell is a Neonatal-perinatal Medicine in Pike Road, Alabama. Walter Clark Boutwell practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Walter Clark Boutwell is 1316908809. The last update date is 2012-08-28.
Walter Clark Boutwell's current location address is 207 Hunter Trl, Pike Road, Alabama. You can contact this provider via phone number 3346577198 and fax number 3342724876. The mailing address for Walter Clark Boutwell is 207 Hunter Trl, Pike Road, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Clark Boutwell |
|---|---|
| Address | 207 Hunter Trl, Pike Road, Alabama |
| Phone Number | 3346577198 |
| Fax Number | 3342724876 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316908809 |
|---|---|
| Provider Enumeration Date | 2006-04-01 |
| Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
| Address | 207 Hunter Trl |
|---|---|
| City | Pike Road |
| State | Alabama (AL) |
| Post Code | 360643415 |
| Phone Number | 3346577198 |
| Fax Number | 3342724876 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal-perinatal Medicine |
|---|---|
| Taxonomy | 2080N0001X |
| Licence No | MD-014439-E |
|
Definition: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1312743 | CT | -- | |
| 4630520 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Walter Clark Boutwell by the Centers for Medicare & Medicaid Services?
The Walter Clark Boutwell has been assigned the NPI (National Provider Identifier) 1316908809. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Walter Clark Boutwell is physically located?
The Walter Clark Boutwell is situated at the following address: 207 Hunter Trl, Pike Road, AL 360643415.
What is the area of specialization for Walter Clark Boutwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Walter Clark Boutwell is Neonatal-perinatal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080N0001X.
On what date did the Walter Clark Boutwell receive its 1316908809 assignment from the Centers for Medicare & Medicaid Services?
The Walter Clark Boutwell was assigned its 1316908809 by the Centers for Medicare & Medicaid Services on 2006-04-01.
When was the information pertaining to Walter Clark Boutwell most recently updated or revised?
The details related to Walter Clark Boutwell, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-28.