MICHAEL BOUGOULIAS

PHOENIX, AZ
NPI1871347757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-16
Last Update Date2024-04-16
Business Address
MICHAEL BOUGOULIAS MD
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
Mailing Address
MICHAEL BOUGOULIAS MD
132 CALM WATER CV
LAKE MARY, FL 32746-3606
Phone number: 407-592-7160
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