Boulware, Mark

Boulware, Mark is an individual health care provider with primary practice located at 1400 E Boulder St Suite 700, Colorado Springs CO 80909-5533. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Boulware, Mark can be contacted via phone (719) 635-7172.

Contact Information

Primary practice address
1400 E Boulder St Suite 700 Colorado Springs CO 80909-5533
Phone: (719) 635-7172
Fax: (719) 444-3717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2006-01834 North Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X DR.0054836 Colorado
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DR.0054836 Colorado

Profile Details

NPI number 1437375318
LBN Legal business name Boulware, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Feb 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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