Individual provider · NPI-1

Paul W Boone Jr., M.D.

Family Medicine · Monroe, WA

NPI number1952342974
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1952342974
Entity type
Individual (NPI-1)
Name
Paul W Boone Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00040105WAYes

Practice location

14692 179th Ave Se
Suite 500
Monroe, WA 98272-1198

Phone 360-794-7994 · Fax 360-805-4757

Mailing address

2940 W Marine View Dr
Everett, WA 98201-3926

Phone 425-258-7014 · Fax 425-258-7760

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