Individual
DR. KERMIT REX BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, SUITE 112, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SUITE 112, SAN DIEGO, CA 92134-1098
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14886
GA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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