person
Mr. Justin Boutwell, PA
Medical Physician Assistant in Broken Bow, Nebraska
NPI 1861959017

Justin Boutwell is a Medical Physician Assistant based in Broken Bow, NE and is specialized in Medical. Justin Boutwell practices in Broken Bow, NE and has the professional credentials of PA. The NPI Number for Justin Boutwell is 1861959017 and holds a License No. 2387 (Nebraska).

The current practice location address for Justin Boutwell is 145 Memorial Dr, Broken Bow, NE and can be reached out via phone at 308-872-2486 and via fax at 308-872-2027.

Location: 145 Memorial Dr, Broken Bow, NE, 68822-1378
person
Provider Profile Details
NPI Number
1861959017
Provider Name
Justin Boutwell
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
145 Memorial Dr, Broken Bow, NE, 68822-1378
Phone Number
308-872-2486
Fax Number
308-872-2027
Provider Enumeration Date
02/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
145 Memorial Dr
City
State
Zip
68822-1378
Phone Number
308-872-2486
Fax Number
308-872-2027
person
Provider Business Mailing Address Details
Address
145 Memorial Dr
City
State
Zip
68822-1378
Phone Number
308-872-2486
Fax Number
308-872-2027
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2387 (Nebraska)
Definition
Definition to come...
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