Organization
CHEWELAH ASSOCIATED PHYSICIANS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THOMAS JOHN BOONE MD (CEO)
(509) 935-8711
Entity
Organization
Contact information
Practice address
410 E KING ST, CHEWELAH, WA 99109-0137
(509) 935-8711
(509) 935-4882
Mailing address
PO BOX 137, CHEWELAH, WA 99109-0137
(509) 935-8711
(509) 935-4882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7109173
—
WA
05
—
7123300
—
WA
05
—
7590946
—
WA
01
—
8901404
DEPT OF L&I
WA
01
—
CN7261
RAILROAD MEDICARE
—
Enumeration date
01/25/2007
Last updated
06/25/2009
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