Individual
BOAZ SADOC PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55515
CO
207R00000X
Internal Medicine Physician
MT-202812
PA
208M00000X
Hospitalist Physician
DR.0055515
CO
Other
Enumeration date
07/31/2012
Last updated
01/25/2023
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