Individual
PAUL W BOONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14692 179TH AVE SE, SUITE 500, MONROE, WA 98272-1198
(360) 794-7994
(360) 805-4757
Mailing address
2940 W MARINE VIEW DR, EVERETT, WA 98201-3926
(425) 258-7014
(425) 258-7760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040105
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8425910
—
WA
Enumeration date
06/09/2006
Last updated
07/08/2007
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