Dr. Walter Clark Boutwell
MD | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Walter Clark Boutwell, MD is a Pike Road, Alabama based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Walter Clark Boutwell is
207 Hunter Trl, Pike Road, Alabama - 36064-3415. He can be contacted on phone at
334-657-7198 and fax number 334-272-4876.
Dr. Walter Clark Boutwell is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Walter Clark Boutwell is
1316908809 which was assigned by NPPES on 01 Apr, 2006 and it was last updated on 28 Aug, 2012.
Dr. Walter Clark Boutwell license number is
MD-014439-E for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Pennsylvania.
Dr. Walter Clark Boutwell 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.
Complete Profile:
Dr. Walter Clark Boutwell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Walter Clark Boutwell |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Walter Clark Boutwell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 207 Hunter Trl
Pike Road, AL, 36064-3415
United States |
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| Phone Number : | 334-657-7198 |
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| Fax Number : | 334-272-4876 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316908809 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Apr, 2006 |
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| Last Updated On : | 28 Aug, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Walter Clark Boutwell are as mentioned. Primary taxonomy code for Dr. Walter Clark Boutwell, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | MD-014439-E | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Walter Clark Boutwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 001312743 | MEDICAID | CT | |
| 4630520 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 207 Hunter Trl
Pike Road, AL, 36064-3415
United States |
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| Phone Number : | 334-657-7198 |
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| Fax Number : | 334-272-4876 |
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Business Location:
Patients can refer following map for directions to
Dr. Walter Clark Boutwell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.