Individual
DR. ELWOOD BERNARD BOONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 N ROBINSON ST, SUITE 403, RICHMOND, VA 23220
(804) 354-6202
(804) 354-0870
Mailing address
110 N ROBINSON ST, SUITE 403, RICHMOND, VA 23220
(804) 354-6202
(804) 354-0870
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101020738
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629034822
—
VA
05
—
7556870
—
VA
Enumeration date
04/25/2006
Last updated
08/18/2008
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