Individual
SUSAN L BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9201 BIG HORN BLVD, 2ND FLOOR, SACRAMENTO, CA 95864
(916) 478-5660
(916) 478-5665
Mailing address
9201 BIG HORN BLVD, ELK GROVE, CA 95758-1240
(916) 478-5660
(916) 478-5665
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125052276
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A118004
CA
Other
Enumeration date
08/10/2007
Last updated
07/21/2022
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