Anthony W. Boutt, M.D.

Surgery Physician · Port Huron, MI

Individual Active NPI

NPI number 1265506497

Practice location

1522 Pine Grove Ave
Suite C
Port Huron, MI 48060-3382
Phone
(810) 987-3556
Fax
(810) 987-5090

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NPI record

NPI
1265506497
Entity type
Individual (Type 1)
Enumeration date
November 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 4301070173 MI

About Dr. Boutt

Anthony W. Boutt, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1522 Pine Grove Ave, Suite C, Port Huron, MI 48060-3382. The NPI number 1265506497 was assigned on November 20, 2006 and the record was last updated on July 8, 2007.

Dr. Boutt lists a license in the registry: #4301070173 (MI) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony W. Boutt, M.D.?

The NPI number is 1265506497.

What is the phone number of Dr. Boutt?

The phone number listed for the practice location is (810) 987-3556.

Where is Dr. Boutt located?

1522 Pine Grove Ave, Suite C, Port Huron, MI 48060-3382.

What is the taxonomy code for Dr. Boutt?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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