Individual
DR. GREGORY BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35052710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600139
ANTHEM BC/BS
OH
05
—
0776665
—
OH
01
—
1700048
UNITED HEALTHCARE
OH
01
—
2157366
GROUP MEDICAID
OH
01
—
67552
FIRST HEALTH
OH
01
—
9303389
GROUP MEDICARE MPCC
OH
Enumeration date
07/12/2005
Last updated
02/01/2010
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