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MR. ADRIAN BERNARD BOONE PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1528068582
Individual Registrant:MR. ADRIAN BERNARD BOONE PA-C
Gender: M
Gender: M
Location and contact information for practice:
2400 HOSPITAL RD TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550 Fax: 334-724-6894
Tel: 334-727-0550 Fax: 334-724-6894
Contact information for business:
203 BIBB ST TUSKEGEE INSTITUTE, AL 36088-2303 US
Tel: 334-725-3109 Fax: 334-724-6894
Tel: 334-725-3109 Fax: 334-724-6894
Registration Information:
NPI: 1528068582
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | AL | PA316 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
