Individual
ALEX MICHAEL BOORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
9325 W GRIMM LN, EDWARDS, IL 61528-9526
(309) 264-1558
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.029678
IL
Other
Enumeration date
05/10/2024
Last updated
05/14/2024
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