Individual
DR. JOHN D BOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
220 S CLIFF AVE STE 102, HARRISBURG, SD 57032-2117
(605) 213-2020
Mailing address
108 EMMETT TRAIL, HARRISBURG, SD 57032
(605) 213-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
637
SD
Other
Enumeration date
06/25/2007
Last updated
07/13/2009
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