Individual
GERALD E BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA CERTIFIED PAC
Contact information
Practice address
301 S ROSELAWN, ARTESIA, NM 88210
(575) 746-3616
(575) 748-2544
Mailing address
301 S ROSELAWN, ARTESIA, NM 88210
(575) 746-3616
(575) 748-2544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA065
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72094
—
NM
01
—
NMEX PA 065
NMEX PA 065
NM
Enumeration date
10/02/2006
Last updated
01/25/2010
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