Individual
DR. JOHN WORKS BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 CHAPIN ST, BELOIT, WI 53511-6472
(608) 362-2343
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(208) 416-2932
(855) 673-9190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101235454
VA
2085R0202X
Diagnostic Radiology Physician
Primary
36892-20
WI
Other
Enumeration date
04/06/2006
Last updated
08/04/2023
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