skip to content

Boughner, Derek Richard

CPSO#: 20960

MEMBER STATUS
Active Member as of 27 Jul 1967
CPSO REGISTRATION CLASS
Independent Practice as of 27 Jul 1967

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:The University of Western Ontario, 1965

Practice Information

Primary Location of Practice
London Cardiac Institute
Suite 201
1055 Fanshawe Park Road West
London ON  N6A 5P6
Phone: (519) 645-0146
Fax: (519) 6451584 Electoral District: 02

Additional Practice Location(s)

339 Windermere Road
London ON  N6A 5A5
Canada
Phone: 519 685-8500 Ext. 36739
Fax: 519 645-1584
County: County of Middlesex
Electoral District: 02

Professional Corporation Information


Corporation Name: Derek Boughner Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Aug 20 2012

Shareholders:
Dr. D. Boughner ( CPSO# 20960 )

Business Address:
London Health Sciences Centre
University Campus
339 Windermere Road
London ON  N6A 5A5
Phone Number: (519) 663-3262

Business Address:
London Cardiac Institute
Suite 201
1055 Fanshawe Park Road West
London ON  N6G 5B4
Phone Number: (519) 645-0146

Hospital Privileges

Hospital Location
London Health Sciences Centre,University Site London
St Joseph's Health Care-St Joseph's Site,London London

Specialties

Specialty Issued On Type
Internal Medicine Effective: 16 Nov 1970 RCPSC Specialist

Terms and Conditions

(1) Dr. DEREK RICHARD BOUGHNER may practise only in the areas of medicine in which Dr. BOUGHNER is educated and experienced.

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1965
Transfer of class of registration to: Independent Practice Certificate Effective: 27 Jul 1967