Individual
DONALD KENNETH BOEHM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 MEDICAL CENTER DR EAST, #101, CLOVIS, CA 93611
(559) 297-9500
(559) 297-9572
Mailing address
722 MEDICAL CENTER DR EAST, #101, CLOVIS, CA 93611
(559) 297-9500
(559) 297-9572
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C34015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C340150
—
CA
Enumeration date
02/23/2007
Last updated
07/08/2007
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