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Charles E Boult, MD
Geriatric Medicine (Internal Medicine) Physician in Boise, Idaho
NPI 1962468025

Charles E Boult is a Geriatric Medicine (Internal Medicine) Physician based in Meridian, ID and is specialized in Geriatric Medicine. Charles E Boult practices in Boise, ID and has the professional credentials of MD. The NPI Number for Charles E Boult is 1962468025 and holds a License No. D57945 (Idaho).

The current practice location address for Charles E Boult is 5966 W Curtisian Ave, Boise, ID and can be reached out via phone at 208-302-5400 and via fax at 208-302-5455.

Location: 5966 W Curtisian Ave, Boise, ID, 83642-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962468025
Provider Name
Charles E Boult
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5966 W Curtisian Ave, Boise, ID, 83642-1026
Phone Number
208-302-5400
Fax Number
208-302-5455
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
687003100 05 MD
institution
Provider Business Practice Location Address Details
Address
5966 W Curtisian Ave
City
Boise
State
Idaho
Zip
83706
Phone Number
208-302-5400
Fax Number
208-302-5455
person
Provider Business Mailing Address Details
Address
5966 W Curtisian Ave
City
Boise
State
Idaho
Zip
83706
Phone Number
208-302-5400
Fax Number
208-302-5455
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
D57945 (Maryland)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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