Individual
FREDERICK A BOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120
(901) 522-7700
(901) 259-2082
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120
(901) 522-7700
(901) 259-5300
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD31969
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3842272
—
TN
Enumeration date
10/26/2005
Last updated
03/07/2011
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