NPI Search for Physicians and Health Care Providers
REBECCA REID BOENING MD
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1306367982
Individual Registrant:
REBECCA REID BOENING MD
Gender: F
Not Sole Proprietor
Location and contact information for practice:
263 N VILLA AVE WILLOWS, CA 95988-2607 US
Tel: 530-934-8700 Fax: 530-934-3011
Contact information for business:
263 N VILLA AVE WILLOWS, CA 95988-2607 US
Tel: 530-934-8700 Fax: 530-934-3011
Registration Information:
NPI: 1306367982
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics
| CA | A163710 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 1306367982 | CA | 05 |
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