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Individual
DR. TIMOTHY BOLTON BOONE
Active
Individual
DR. TIMOTHY BOLTON BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H1343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AP709
BLUE CROSS BLUE SHIELD
TX
01
—
P00633959
RAILROAD MEDICARE
TX
01
—
P01062991
RAILROAD MEDICARE
TX
Enumeration date
10/12/2006
Last updated
03/26/2016
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