NPI 1003307562
Tyler Boulton
Practice location
- Address
- 527 N Meridian Rd, Youngstown, OH 44509-1227
- Phone
- (330) 797-0074
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003307562
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 May 2018
- Record last updated
- 21 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.