DERRICK PAUL BOULDIN

FORT CAMPBELL, KY
NPI1245812320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
Mr. DERRICK PAUL BOULDIN PA-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
Mailing Address
Mr. DERRICK PAUL BOULDIN PA-C
109 MILL WALK CT
MADISON, AL 35758-1508
Phone number:
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