NICHOLAS GRANT THOMAS BOUGHTON PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1639785561- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI, 968595001
- Phone
- (808) 433-6661
- Fax
- (808) 433-1551
Specialties & Taxonomies
Physician Assistant
Primary