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Individual
DR. CLIFFORD KENT BOESE
Active
Individual
DR. CLIFFORD KENT BOESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19711
NE
207X00000X
Orthopaedic Surgery Physician
Primary
30053
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111260
—
IA
01
—
16464
WELLMARK
IA
01
—
200017652
MEDICARE TRAVELERS
IA
Enumeration date
07/07/2005
Last updated
07/12/2012
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