# ARTHUR R BOERNER MD PMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710155544
- **Authorized official:** ARTHUR R BOERNER MD (MD OWNER)
- **Authorized official phone:** (812) 288-9646

## Contact information

- **Practice address:** 1407 SPRING ST, SUITE 2, JEFFERSONVILLE, IN 47130-3748
- **Practice address phone:** (812) 288-9646
- **Practice address fax:** (812) 283-8391
- **Mailing address:** PO BOX 770, JEFFERSONVILLE, IN 47131-0770
- **Mailing address phone:** (812) 288-9646
- **Mailing address fax:** (812) 283-8391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01061638A | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | 01029076A | IN | Yes |
| 363L00000X | Nurse Practitioner | 71002263A | IN | — |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 06/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200451390B | — | IN |