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Individual
DR. THOMAS MATTHEW BOETEL
Active
Individual
DR. THOMAS MATTHEW BOETEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
7154
SD
208100000X
Physical Medicine & Rehabilitation Physician
OS013636
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7154
SD
Other
Enumeration date
04/22/2006
Last updated
04/04/2022
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