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DR. THOMAS JOSEPH BOO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255664124

Individual Registrant:
DR. THOMAS JOSEPH BOO MD
Gender: M
Sole Proprietor

Location and contact information for practice:
153 PIONEER LN STE B  BISHOP, CA 93514-2517 US
Tel: 760-873-2849  Fax: 760-873-2836

Contact information for business:
PO BOX 275  BISHOP, CA 93515-0275 US
Tel: 760-873-2849  Fax: 760-873-2836

Registration Information:
NPI: 1255664124
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG80249

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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