Individual
DR. PETER ERIC BOEHM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 E 3RD ST STE 202, CHATTANOOGA, TN 37403-2174
(423) 265-2233
(423) 756-8265
Mailing address
1010 E 3RD ST STE 202, CHATTANOOGA, TN 37403-2174
(423) 265-2233
(423) 756-8265
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD0000046924
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524932
—
TN
Enumeration date
05/07/2007
Last updated
11/23/2011
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