Dr Owmy Bouloute, DPM | |
5049 Anchorstone Dr, Woodbridge, VA 22192-8320 | |
(678) 517-4214 | |
Not Available |
Full Name | Dr Owmy Bouloute |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 15 Years |
Location | 5049 Anchorstone Dr, Woodbridge, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093013880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 0103301212 (Virginia) | Primary |
Provider Name | Bouloute Healthcare Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104343532 PECOS PAC ID: 6406112515 Enrollment ID: O20171106002685 |
Mailing Address | Practice Location Address |
---|---|
Dr Owmy Bouloute, DPM 8653 16th St Unit 7186, Silver Spring, MD 20907-7909 Ph: (678) 517-4214 | Dr Owmy Bouloute, DPM 5049 Anchorstone Dr, Woodbridge, VA 22192-8320 Ph: (678) 517-4214 |
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Bouloute Healthcare Services, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 5049 Anchorstone Dr, Woodbridge, VA 22192 Phone: 678-517-4214 | |
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