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Individual
JOY LOUISE BOONE
Active
Individual
JOY LOUISE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD038528E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000067334
HIGHMARK
PA
05
—
0010874730002
—
PA
01
—
0473267
AETNA
PA
01
—
104152
UPMC
PA
01
—
1409575
UNITED MINE WORKERS
PA
01
—
1427335140
WHITERIVER
—
01
—
1427335181
CBQ
—
Enumeration date
07/18/2005
Last updated
01/27/2014
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