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Organization
KEITH BOSTON, M.D. FAMILY PRACTICE
Active
Organization
KEITH BOSTON, M.D. FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH J BOSTON M.D. (OWNER)
(530) 622-4884
Entity
Organization
Contact information
Practice address
3150 GILMORE ST, PLACERVILLE, CA 95667-5500
(530) 622-4884
(530) 622-1303
Mailing address
3150 GILMORE ST, PLACERVILLE, CA 95667-5500
(530) 622-4884
(530) 622-1303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G53533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G535530
—
CA
Enumeration date
09/25/2007
Last updated
09/25/2007
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