MICHAEL M BOUSTANY MD
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1619973096- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 434 DIVISION ST, SOUTH CHARLESTON, WV, 25309
- Phone
- (304) 766-7140
- Fax
- (304) 766-7180
Specialties & Taxonomies
Unknown
License: WV #10600
Surgery
Primary License: WV #10600