Individual
JUSTIN JOEL BOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1408 GLENOLDE PL, EDMOND, OK 73003-2668
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A97272
CA
2085R0202X
Diagnostic Radiology Physician
Primary
25546
OK
2085R0202X
Diagnostic Radiology Physician
44935
KY
2085R0202X
Diagnostic Radiology Physician
A97272
CA
Other
Enumeration date
10/12/2006
Last updated
06/24/2015
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