NPI 1265506497

Anthony W Boutt, MD

Practitioner Surgery Physician Port Huron, MI

Practice location

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

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4301070173 (MI)

Other Surgery providers in Michigan →

Registry record

NPI: 1265506497
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2006
Record last updated: 8 Jul 2007

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.