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Frederick Thornton Boulware, MD
Neuromuscular Medicine (Psychiatry & Neurology) Physician in Phoenix, Arizona
NPI 1497733174

Frederick Thornton Boulware is a Neuromuscular Medicine (Psychiatry & Neurology) Physician based in Phoenix, AZ and is specialized in Neuromuscular Medicine. Frederick Thornton Boulware practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Frederick Thornton Boulware is 1497733174 and holds a License No. 37701 (Arizona).

The current practice location address for Frederick Thornton Boulware is 2423 W Dunlap Ave, Phoenix, AZ and can be reached out via phone at 602-424-4450 and via fax at 602-424-4451. You can also correspond with Frederick Thornton Boulware through the mailing address at 2423 W DUNLAP AVE, PHOENIX, AZ - 85021-5818 (mailing address contact number: 602-424-4450).

Location: 2423 W Dunlap Ave, Phoenix, AZ, 85021-5818
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Provider Profile Details
NPI Number
1497733174
Provider Name
Frederick Thornton Boulware
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2423 W Dunlap Ave, Phoenix, AZ, 85021-5818
Phone Number
602-424-4450
Fax Number
602-424-4451
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002002038 05 NV
100500484 05 NV
institution
Provider Business Practice Location Address Details
Address
2423 W Dunlap Ave
City
State
Zip
85021-5818
Phone Number
602-424-4450
Fax Number
602-424-4451
person
Provider Business Mailing Address Details
Address
2423 W Dunlap Ave
City
State
Zip
85021-5818
Phone Number
602-424-4450
Fax Number
602-424-4451
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neuromuscular Medicine
Taxonomy
License No.
37701 (Arizona)
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
37701 (Arizona)
Definition
A Neurologist 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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
License No.
37701 (Arizona)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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