Individual
DR. BRET A BOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6115
Mailing address
2133 CAMPGROUND RD, LAUDERDALE, MS 39335-9605
(601) 679-8291
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14972
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118046
—
MS
01
—
731-00390
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/09/2006
Last updated
07/08/2007
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