Individual
DR. LINDA NOWZARADAN BOXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
754 MCCOOL RD, VALPARAISO, IN 46385-8856
(219) 759-5500
Mailing address
754 MCCOOL ROAD, VALPARAISO, IN 46385-8856
(219) 759-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002922A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000524371
ANTHEM BCBS PIN
IN
05
—
200860720A
—
IN
Enumeration date
03/21/2007
Last updated
05/23/2008
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