Individual
KEITH B BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 E RIVER PARK CIR, SUITE 460, FRESNO, CA 93720-1571
(559) 261-4500
Mailing address
PO BOX 28947, FRESNO, CA 93729-8947
(559) 228-5448
(559) 224-3920
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
G68568
CA
208600000X
Surgery Physician
Primary
G68568
CA
Other
Enumeration date
04/10/2006
Last updated
03/10/2014
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