Gary Kenneth Boone M.D.

NPI 1073543781 - Family Medicine - 207QA0505X

NPI Details
NPI 1073543781
Gender Male
Enumeration Date 07/05/2006
Last Updated 01/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3737 MORAGA AVE STE B408
SAN DIEGO CA, 92117-5364, US
Phone (858) 292-8885
Fax (858) 292-0688
Business Location
3737 MORAGA AVE STE B408
SAN DIEGO CA, 92117-5364, US
Phone (858) 292-8885
Fax (858) 292-0688
Toxanomy
Taxonomy Code 207QA0505X
License State California
License Number G31968
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According to our database, Dr. Gary Kenneth Boone M.D. NPI is 1073543781, taxonomy code is 207QA0505X and license number is G31968, license state is located at California. Gary Kenneth Boone M.D. physically located at 3737 Moraga Ave Ste B408, San Diego CA, 92117-5364. NPI Number Gary Kenneth Boone M.D. has the Individual type.

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1073543781 NPI number is provided on an as is basis without warranty of any kind. 1073543781 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Kenneth Boone M.D. are for informational purposes only.