Organization
NORTHPARKE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH A BOOR MD (PHYSICIAN COOWNER)
(937) 390-1700
Entity
Organization
Contact information
Practice address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503
(937) 390-1700
(937) 390-2471
Mailing address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503
(937) 390-1700
(937) 390-2471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154658
—
OH
Enumeration date
07/14/2006
Last updated
05/10/2010
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