Individual
DR. BERNARD R BOEHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 ALBION AVE, BURLEY, ID 83318-1817
(208) 878-2271
(208) 878-2270
Mailing address
1335 ALBION AVE, BURLEY, ID 83318-1817
(208) 878-2271
(208) 878-2270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6848
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002799800
—
ID
Enumeration date
09/12/2005
Last updated
02/16/2010
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