Mira Boone MD

NPI 1053511642 - Family Medicine - 207Q00000X

NPI Details
NPI 1053511642
Gender Female
Enumeration Date 07/20/2007
Last Updated 06/23/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1534 W D ST
Phone (336) 667-4178
Fax (336) 667-0938
Business Location
1534 W D ST
N WILKESBORO NC, 28659-3528, US
Phone (336) 667-4178
Fax (336) 667-0938
Taxonomy Code 207Q00000X
License State North Carolina
License Number 2008-00571
Remove 1053511642 NPI Number

According to our database, Dr. Mira Boone MD NPI is 1053511642, taxonomy code is 207Q00000X and license number is 2008-00571, license state is located at North Carolina. Mira Boone MD physically located at 1534 W D St, North Wilkesboro NC, 28659-3528. NPI Number Mira Boone MD has the Individual type.

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1053511642 NPI number is provided on an as is basis without warranty of any kind. 1053511642 is maintained by the National Plan & Provider Enumeration System. The contents of Mira Boone MD are for informational purposes only.