Individual
MARGARET MARY CAVANAUGH-BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
207 W 4TH, MULLEN, NE 69152
(308) 546-2213
(308) 546-2263
Mailing address
PO BOX G, 207 W 4TH, MULLEN, NE 69152
(308) 546-2213
(308) 546-2263
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18005
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080065295
RR MEDICARE
—
01
—
2814196
PHARMACY
—
05
—
47075829913
—
NE
01
—
862565A
GROUP
—
Enumeration date
10/18/2006
Last updated
03/07/2023
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