Individual
DR. RANDOLPH ROY BOESPFLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBA
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 997-9650
Mailing address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 997-9650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15363
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750559605
NPI
OR
01
—
177659
DMAP
OR
Enumeration date
02/13/2008
Last updated
12/08/2009
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