Individual
JOEY ROQUE C BOISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6555 COYLE AVE STE 260, CARMICHAEL, CA 95608-0312
(916) 536-3665
(916) 536-2029
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
65737
GA
2084N0400X
Neurology Physician
Primary
C163709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009920195
—
AL
05
—
009968375
—
AL
Enumeration date
09/25/2006
Last updated
10/10/2019
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