Individual
CAROLINE BOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 N PEPPER AVE, NEUROSURGERY DEPT. MOD 3, COLTON, CA 92324-1801
(909) 580-6210
(909) 580-1363
Mailing address
400 N PEPPER AVE, NEUROSURGERY DEPT. MOD 3, COLTON, CA 92324-1801
(909) 580-6210
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.124381
IL
207Q00000X
Family Medicine Physician
Primary
036124381
IL
207T00000X
Neurological Surgery Physician
20A7135
CA
Other
Enumeration date
03/06/2008
Last updated
05/15/2024
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