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John A Bouteller, MD
Cardiovascular Disease Physician in Stockton, California
NPI 1114969029

John A Bouteller is a Cardiovascular Disease Physician based in Stockton, CA and is specialized in Cardiovascular Disease. John A Bouteller practices in Stockton, CA and has the professional credentials of MD. The NPI Number for John A Bouteller is 1114969029 and holds a License No. G34049 (California).

The current practice location address for John A Bouteller is 415 E Harding Way, Stockton, CA and can be reached out via phone at 209-944-5750.

Location: 415 E Harding Way, Stockton, CA, 95204-6118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114969029
Provider Name
John A Bouteller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 E Harding Way, Stockton, CA, 95204-6118
Phone Number
209-944-5750
Fax Number
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
415 E Harding Way
City
Stockton
State
California
Zip
95204-6118
Phone Number
209-944-5750
Fax Number
person
Provider Business Mailing Address Details
Address
415 E Harding Way
City
Stockton
State
California
Zip
95204-6118
Phone Number
209-944-5750
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
G34049 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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