Individual
DR. GREGORY A BOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 A COTTAGE ST, SUSANVILLE, CA 96130-4303
(530) 257-4424
(530) 257-9626
Mailing address
607 A COTTAGE ST, SUSANVILLE, CA 96130-4303
(530) 257-4424
(530) 257-9626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6622T
CA
Other
Enumeration date
11/14/2006
Last updated
06/05/2008
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