Individual
DR. WESLEY DAVID BOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LANL TA- 03 BUILDING 1411 RM 156 PAJARITO ST, LOS ALAMOS, NM 87545-3750
(505) 667-3511
(505) 665-9639
Mailing address
PO BOX 1663, LOS ALAMOS, NM 87544-0600
(505) 667-0660
(505) 665-9639
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD2023-1212
NM
Other
Enumeration date
01/08/2009
Last updated
11/20/2024
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