Individual
DR. DENNIS M BOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1521 S 3RD, STOCKTON, MO 65785-9608
(417) 276-5131
(417) 276-6498
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6501
(417) 328-6338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
107694
MO
207Q00000X
Family Medicine Physician
DO107694
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00062527
PALMETTO GBA RAILRAOD
MO
Enumeration date
08/14/2006
Last updated
12/29/2016
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