Individual
DR. MYLES DUSTIN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, ANESTHESIOLOGY, LEBANON, NH 03756-0001
(603) 650-6177
Mailing address
ONE MEDICAL CENTER DRIVE, ANESTHESIOLOGY, LEBANON, NH 03756-0001
(603) 650-6177
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19115
NH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
19115
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007865
NEIGHBORHOOD HEALTH
MA
05
—
1033420
—
VT
01
—
117118
FALLON
MA
05
—
2122421
—
MA
05
—
3113612
—
NH
01
—
34154
BOSTON MEDICAL CENTER
MA
01
—
494984
TUFTS MEDICARE PREFERRED
MA
01
—
AA65827
HARVARD PILGRIM
MA
01
—
J40336
BLUE SHIELD
MA
Enumeration date
04/27/2006
Last updated
09/25/2018
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